Statement of Plans and Resources
For the visa interview · Prepared by the applicant's family
1. General
Visa category: ________. Beneficiary's age: ________. Petitioner's age: ________.
The petitioner and the beneficiary will live in ________.
The petitioner currently lives: ________.
2. Housing
The beneficiary will live ________.
Address: ______________________________________________.
Other members of the household: ________.
3. Work and study
Plans in the United States: ________.
Education, training and experience: ________.
Additional training or licensing needed: ________.
Job search started: ________.
Written job offer: ________.
Expected first-year salary: ________.
4. Health insurance
Current health insurance covering the beneficiary in the United States: ________.
Coverage through a family member's plan: ________.
Medical conditions requiring treatment in the United States: ________.
5. The petitioner's dependents
The petitioner financially supports ________ people.
Dependents with medical conditions being treated or needing treatment: ________.
Dependents with disabilities or special needs requiring long-term care: ________.
6. Income, property and debts
Petitioner: ________; annual income before taxes ________ (as on Form I-864), after taxes ________.
Other working adults in the petitioner's household: ________.
The petitioner's real estate: ________.
The petitioner's savings and investments: ________.
The petitioner's debts: ________.
The beneficiary's property and savings: ________.
The beneficiary's loans or debts: ________.
7. Public benefits
Public benefits currently received: ________.
Public benefits received before: ________.
Long-term institutional care at government expense: ________.
We are prepared to discuss any of these points at the interview. Supporting documents are listed on the attached checklist.
Supporting documents checklist
- Form I-864, signed by the petitioner, with the federal tax return (Form 1040) and W-2s or IRS tax transcripts, recent pay stubs and an employment letter
- Every translation kept together with its original
Prepared by the family with a free template from alyic.com. General information, not legal advice. I am not an attorney; I provide document-preparation services.