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This form is used to provide supplemental information to
the USCIS on persons seeking to adjust status under the provisions of section 245(i) of the Immigration and
Nationality Act.
Edition 12/16/08. Previous versions are also accepted.
File this form along with your I-485 Form.
The USCIS requires a fee of $1000 in addition to the fee required with your Form I-485 to file this form. If you have filed your I-485 already, the USCIS will require a copy of the receipt and the additional $1000 fee.
Acceptable forms of payment may vary by office.
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