MICHAEL J RUDINSKI
Direct e-mail

JERRY E. LYNCH
Direct e-mail
/ 339 Market Street
Williamsport, Pa. 17701
PHONE: (570) 321-8090
FACSIMILE: (570) 326-9110

/ JOSEPH ORSO III
Direct e-mail

K-1/K-3Visa Questionnaire

INFORMATON TO BE COMPLETED BY OVERSEAS FIANCEE OR SPOUSE

INFORMATION ABOUT YOUR ALIEN RELATIVE
Last Name
First Name
Full Middle Name
Other Names Used (Maiden):
Sex (Male or Female):
Current Address:
Foreign Address:
Address in the U.S. Where Relative Will Reside:
Home Telephone:
Office Telephone:
Fax Number:
Email Address:
Date of Birth (mo/day/year):
Place of Birth (City, State/Province, Country):
U.S. Social Security Number:
Alien Registration Number (if any):
Marital Status (circle one):
If Married, Date and Place of Present Marriage:
Names of Prior Husbands/Wives and Date(s) Marriage(s) Ended:
Has your relative ever been to the U.S.? Yes/No:
List Name and Address of Current Employer and Date this Employment Began (if applicable):
List Husband/Wife and children of your relative
Full Name / Date of Birth / Country of Birth
INFORMATION FOR THE FIANCEE OR SPOUSE’S PARENTS
INFORMATION ABOUT FATHER
Last Name
First Name
Middle Name
Date of Birth
City & County of Birth
City and Country of Residence
INFORMATION ABOUT MOTHER / Married Single Widowed Divorced
Maiden Name
First Name
Middle Name
Date of birth
City and Country of birth
City and Country of Residence
INFORMATION ABOUT THE FIANCEE OR SPOUSE’S MARRIAGE
Current Marriage
Date of Birth of Spouse
Place of Birth of Spouse
Date and place of marriage
Previous Marriage
Name of former Spouse
Date of birth of former Spouse
Place of Birth of former Spouse
Date and Place of Previous Marriage
Date and Place of termination of marriage
INFORMATION ABOUT THE FIANCEE OR SPOUSE’S RESIDENCE FOR THE PAST FIVE YEARS
Please list current address first
Street Address / City / State / From (mon/yr) / To (mon/yr)
INFORMATION ABOUT THE FIANCEE OR SPOUSE’ EMPLOYMENT FOR THE PAST FIVE YEARS
Please list current employment first
Name and address of employer / From (mon/yr) / To (mon/yr)

DOCUMENTS REQUIRED IF PETTION FOR FIANCEE (K-1)

Evidence of Citizenship: US Passport, Certificate of Naturalization or US Certificate of Birth

Correspondences between you and your overseas fiance(e).

Photos of you and your finance together

One passport photo of you and your fiancé(e)

Divorce decree or divorce certificate from former marriage(s)

DOCUMENTS REQUIRED IF PETITION FOR SPOUSE (K-3)

Evidence of Citizenship: US Passport, Certificate of Naturalization or US Certificate of Birth

Marriage Certificate

Photos of you and your spouse together

One passport photo of you and your spouse

Divorce decree or divorce certificate from former marriage(s) for both you and your spouse

Copy of your spouse’ birth certificate