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					                                    National Visa Center
                                    32 Rochester Avenue
                                 Portsmouth, NH 03801-2909




April 20, 2005


                         CHECKLIST
Jane Sue Smith
STREET ADDRESS
CITY, STATE ZIP


Dear Jane Sue Smith:

We have reviewed the documents which you submitted in support of an application for an
immigrant visa. Please review the information listed under each applicant’s name and provide
any documents which are indicated as missing or need additional information. You must submit
the required information.

Please read the enclosed information to determine where to send all required copies of missing
documents. If you have any questions regarding this letter, please call the National Visa Center
at (603) 334-0700 between the hours of 8:00am and 8:45pm EST.

Please include a copy of this letter with your correspondence and write your case number clearly
(exactly as it appears below) on the upper right-hand corner of all documents.

If a period of one year passes without contacting NVC (by telephone or mail), all submitted
fees and documents will expire. In this case, fees and documents will need to be
resubmitted in order to continue the immigration process.




Case Number:                  XXX2005123456
Beneficiary’s Name:           SMITH, JOHN QUINCY
Preference Category:          CR1 – CONDITIONAL SPOUSE OF U.S. CITIZEN
Priority Date:                11NOV2004




                         [LPR 04/20/2005] [XXX2005123456]     Page 1 of 3
  YOU MUST RETURN THIS PAGE WITH YOUR
             DOCUMENTATION.
FAILURE TO DO THIS MAY RESULT IN A DELAY
  IN PROCESSING YOUR DOCUMENTS. PLEASE
   ATTACH THIS PAGE TO THE FRONT OF THE
DOCUMENTS FOR THIS CASE ONLY AND MAIL
 IN AN ENVELOPE CONTAINING INFORMATION
            FOR THIS CASE ONLY
 (putting multiple case information in the same
envelope may delay the processing of your cases)
                      TO:

             NATIONAL VISA CENTER
                   ATTN. DR
             32 ROCHESTER AVENUE
           PORTSMOUTH, NH 03801-2909


             XXX2005123456


              (Checklist Letter Response)

                               CR1
                  JOHN QUINCY SMITH




           [LPR 04/20/2005] [XXX2005123456]   Page 2 of 3
MISSING DOCUMENT LIST FOR: SMITH, JOHN QUINCY
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^


______FINANCIAL EVIDENCE:__________________________________________
A review of the I-864 or I-864A (if applicable) Affidavit of Support form and supporting
documents that you submitted has indicated that you have either skipped questions entirely or
provided incomplete information.

We are sending you the attached checklist with or without your Affidavit of Support form for
correction. Please make sure that the documents submitted are in the correct order and stapled as
stated in the I-864 Important Notice instructions when you return the documents to NVC.

Please pay specific attention to questions marked in the attached I-864/A checklist.

NVC will hold this case until you send us these needed items. The sooner you answer, the
sooner the case can be sent overseas for the interview.




                         [LPR 04/20/2005] [XXX2005123456]     Page 3 of 3
        Checklist for I-864 (filed by SMITH, JANE SUE )

  NVC has reviewed the financial evidence submitted. Please see below for what items need to be fixed or
  what documents need to be submitted. Please refer to page three for instructions regarding where these
  documents should be sent.

Sponsor’s Annual Household Income
    [x] The listed income tax documents/IRS statements for the years marked below are missing/incomplete (if you have lost
          any of the requested tax information, contact your local IRS office to obtain a copy) (Only Federal returns (not state or
          local) are acceptable unless the sponsor’s income was earned in Puerto Rico.)
           W-2 forms are missing/incomplete for the year(s):        [ ] 2004 [x] 2003 [ ] 2002

				
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