Part 5.

Interpreter's Contact Information, Interpreter's Certification

Certification, and Signature
Provide the following information about the interpreter you used
to complete Form I-130A if he or she is different from the
interpreter used to complete the Form I-130 filed on your behalf.
Interpreter's Full Name
1.a. Interpreter's Family Name (Last Name)
Miric
1.b. Interpreter's Given Name (First Name)
Dragana
2. Interpreter's Business or Organization Name (if any)
I certify, under penalty of perjury, that:
I am fluent in English and Serbian ,
which is the same language provided in Part 4., Item Number
1.b., and I have read to this spouse beneficiary in the identified
language every question and instruction on this form and his or
her answer to every question. The spouse beneficiary informed
me that he or she understands every instruction, question, and
answer on the form, including the Spouse Beneficiary's
Certification, and has verified the accuracy of every answer.
Interpreter's Signature
7.a. Interpreter's Signature (sign in ink)

7.b. Date of Signature (mm/dd/yyyy) 09/23/2022

Interpreter's Mailing Address
3.a. Street Number Otokara Kersovnija 22 Part 6. Contact Information, Declaration, and
and Name
Signature of the Person Preparing this Form, if
3.b. Apt. Ste. Flr. Other Than the Spouse Beneficiary
3.c. City or Town Novi Sad Provide the following information about the preparer you used
to complete Form I-130A if he or she is different from the
3.d. State 3.e. ZIP Code preparer used to complete the Form I-130 filed on your behalf.

3.f. Province Preparer's Full Name

3.g. Postal Code 21000 1.a. Preparer's Family Name (Last Name)
FALLETTA
3.h. Country
Serbia 1.b. Preparer's Given Name (First Name)
Salvatore
Interpreter's Contact Information 2. Preparer's Business or Organization Name (if any)
4. Interpreter's Daytime Telephone Number Salvatore A. Falletta, LLC
9175443997
Preparer's Mailing Address
5. Interpreter's Mobile Telephone Number (if any)
3.a. Street Number 155 Park Avenue
and Name
6. Interpreter's Email Address (if any) 3.b. Apt. Ste. Flr. 201C
dragana.balog26@gmail.com
3.c. City or Town Lyndhurst

3.d. State NJ 3.e. ZIP Code 07071

3.f. Province

3.g. Postal Code

3.h. Country
United States of America

Form I-130A Edition 07/20/21 Page 4 of 6