Department of Homeland Security . : US. Citizenship and Immigration Services Form I-797C, Notice of Action = SS Ss SS [THIS NOTICE DOES NOT GRANT ANY IMMIGRATION STATUS OR BENEFIT. } REQUEST FOR APPLICANT TO APPEAR FOR INITIAL INTERVIEW FORM 485, APPLICATION TO REGISTER PERMANENT RESIDENCE OR ADJUST STATUS PROOSITY DATE hy 3. 2 2014 HE sstutax cfu M ARDA BESKARDES MARDA BESKARDES WEQ EES ER EEO 417 BERGEN STREEL BROOKEYN NY 11217 You are hereby notified to appear for the interview appointment, as scheduled below, for the completion of your Application to Register Piplessirparmnyrhette nme alias ir fi ted “psc evra Lantare fe appr tor Pip fers iew andicy Mtne 4 If your eligibility Is based on your merriage, your hushand or wife. must come with you to the latecview, O if you co not speak English fluently, you should bring an interpreter. 0 Your atiomey or authorized represen may come with you Io the inlerview. CO 2 your cligibaily is based on a parent/child relationship and the child is a manor, the petiioaing parent and the child must appear for the intendiaw. *NOTE: Ce a ee ee ag toa beast Ure buoros ou do nel need vs bang your chadre such as a diwer's license of 1D card, in onder to entor the bulking and to very histher identity at the time of the inlerview. You do nol need Io bring your chikdren untess otherwise i Pioase be-on lime, bul Go no arive more lan 0 munules ear. ‘We may record oF videotape your interview. YOU MUST BRING THE FOLLOWING STEMS WITH YOU: (Please use as a checklist to prepare for your inlerview) rp peer petri aidan} gad rnp OA meccal exarrsnation tf 1693} and. wacciralion plement i socked cemcingn (atens shvaly winnie 1D A common Afidant(s) of Suppor (Foi 1864) weh al required exrtonce,incaing tho folowing, for gach of your-spansors {unless already submitted): OD Federal income Tax retums and ¥W-2's, of cerlified IRS printouts, for the most recent tax year, D Letters from each current employer, verifying curent rate of pay and average weekly hours, and pay stubs for the past 2 months; OF Evidence of yout sponsor's andior o> sponsor's United Stas ‘ze a 3 All dogumeniation establishing your eligibility for Lawful Permanent Resident u Poe fons documentation ever issued to you, aching any Employment Auhorizaon Document (EAD) and any Authorization tor Advance Parole (Form 1-5 (0 All travel documents used to cnter the United States, induding Passports, Advance Parole documents {(H512} and |-O4s (Anival/Depanure Document). © Your darth U Your peiikoner’s Birth Cerificate and your pelitioner's evidence of United States Citzenship or Lawful Pearnanent Resident Slatus. © if you have children, bang a Birth Certificate for each of your children. CO if your eligititty is based on your mamage, it ackElon lo your spouse coming 6 the interew wath you, bang: © A certified copy of your Marriage Document issued by Ihe appropiate civil authority. O Your spouse's Bath Cestificale and your spouse's evidence of United States Citizenship or Lawiul Permanent Resident status; 01 it efther you or your spouse were ever manied before, all divorce decreesideath certificates tor each prior maniagedomer Spouse, © Binh Certticates for all children of [his mamiage, and custody papers for your chikiren and for your spouse's chadren nol ving with you; ( Supporting evidence of your relationship, such as copies af any documentation regarding joint assets or liabilities ad d your spou Spouse may have logether, _ ThWs May includes tas relia Death etic eM, cntodfociroests tack Ue, nest; swoperty dexcarents toe, patie reftal ageemens, unity drtis, creck cards, contacts, leases, photos, conespondence andfor any other documents you foc! may substantiate your relations 1 Original and copy of each supporting document that you submitted with your applicalion. Otherwise, we may keep your ongi ia for ou Tecords. OF you have ever been arrested, bring the related Police Report and the inal ot cestftod Final Court Disposition for each arrest. oven if the chages have been dismissed or expunged. ina court recon is avaiteble, bring a letter [rom the court with jurisdiction ineicating this. MA certified English bicw-upibe-poeenr hy lreagn language document, The translator rast certify Svat sthe is fluent in both languages, and that the Ganslation ® ils entirely 1S complete and PRY MUST APPEAR FOR TS TE emergency, such as your own iliness or a dose relative’s hospitalization, prevents proved from appearing, call he US. Catzenship and Immigrston IS) Nalioal Customer Service Center at 1400-375-5283 as soon as possible. Please be advised that rescheduling will delay processing of applicationipe|ailion, and may require some steps lo be repeated. [it may also affect your eligibility for other immagralion benefits white this application is pending. Fyouha have questions, please call the USCIS National Customer Service Center at 1-400-375-6283 (hearing impaired TOD service is 1-800-767- 1833). PLEASE COME TO: U.S. Citizenship and Immigration Services ON: Friday, January 16,2015 25 FEDERAL PLAZA AT: 09:00 AM 4TH FLOOR ROOM 4-437 NEW YORK NY 10278 2 REPRESENTATIVE COPY Af this ix an interview or blometrics appointment votice, plexse sce the back of this notice for lasportant loformation, Porm 1-797 O7/L1/14 ¥ EFTA00592485

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Notice to Applicant: ve ever ted or detai any law enforcement officer for any reason, you must bring the following to your adjustment of status interview. NOTE You de not need to bring any documentation relating to any traffic fines and incidents that were not alcohol or drug related and did not involve an actual arrest if the only penalty was a fine of less than $500 and/or points on your driver’s license. You do need to bring documentation if you were involved in any traffic incidents that were alcohol or drug related or you were arrested for the incident, or if the penalty resulted in a fine of more than $500 and/or points on your driver’s license. If you have ever been or detained yw enfirconsens officer for an’ charges were filed, bring: « Anoriginal official statement by the arresting agency or applicable court order confirming that no charges were filed, If you have ever been arrested or detained by a law enforcement officer for any reason, and charges were filed, or if charges were filed against you without an arrest, bring: ¢ An original or court-certified copy of the complete arrest record, and/or disposition for each incident (e.g., dismissal order, conviction record or acquittal order). If you have ever - been convicted or placed in an alternative sentencing Rrogram or rehabilitative program (such as drug treatment or community service program), bring: ° Anoriginal or court-certified copy of the sentencing record for each incident, and evidence that you completed your sentence, specifically: eo Anoriginal or certified copy of your probation or parole record, or © Evidence that you completed an altemative sentencing program or rehabilitative program. . — Uf you have ever had any, arrestor conviction vacated, set aside, scaled, expunged or-otherwise -.—..— —.. —— removed from your record, bring: e Anoriginal or court-certified copy of the court order vacating, setting aside, sealing, expunging or otherwise removing the arrest or conviction, or an original statement from the court that no record exists of your arrest or conviction. EFTA00592486