Part 3. Information About the Immigrants You ‘Are Sponsoring (continued) 29, Enter the total number of immigrants you are sponsoring on this affidavit which includes the principal immigrant listed in Part 2. any immigrants listed in Part 3. Item ‘Numbers 1. - 28. and (if applicable), any inmigrants listed for these questions in Part 11, Additional Information. Do not count the principal immigrant if you are only sponsoring family members entering more than 6 months hotel niga Cr] [Part 4. Information About You (Sponsor) ‘Sponsor's Full Name la Famiy Name Eparza-aova? (tas Neney Eepastetoves Lb. Given Name z rst Name) Bogetto Sponsor's Physical Address 4a. Street Number and Name {_ 4p. Cap. O se. 0 re Ae. City or Town 4a. sae[ Ey 4.6 Province 4. Postal Code op Other Information 5. Country of Domicile Le. Middle Name Sponsor's Mailing Address 2a. In Care OfName 2b. Street Number = StseiNumber [4942 Jasper ST 6. Date of Birth (mim/da’yyyy) lo3/28/1966 7. Gity or Town of Birth [aritias, Asientos 8. State or Province of Birth lags 9% — Country of Birth 2e 2) Apt 0) ste 0) Fir 24. ciyortown [Denver 2e ste[CO[E] 26 21 cosaoas9 2g. Province 2h. Postal Code 24 Com ee 3. Is your current mailing address the same as your physical address? Bl Yes (No {Ifyou answered "No" to Item Number 3., provide your physical address in Item Numbers 4. -4.h. 10. US. Social Security Number (Required) [639017570 Citizenship or Residency 1a. BH] Temas. citizen 11.0) Tama US. national We. Tama lawful permanent resident, 12, Sponsor's A-Number (if any) pa-[o90778679 13, Sponsor's USCIS Online Account Number (if any) > Military Service (To be completed by petitioner sponsors only.) 14, 1am currently on active duty in the U.S. Armed Forces rs Coa Gud tive Bone nemiatt Eni law IE ENGR RAP Pee otio