国土安全部
Department of Homeland Security 预算办公室 No. 1615-0026；有效期至09/30/2016
OMB No. 1615-0026; Exp. 09/30/2016 美国公民及移民服务局
I-526表格，外国企业家移民申请表
由此开始-使用黑色墨水填写打印
START HERE – Type or print in blank ink.
第一部分 您的个人信息
住址-户主姓名，如有
（选择一项）Part 2. Application Type (Check one)
a. 这份请愿书是基于一个在目标就业区的商业企业的投资，所需投入资金的金额已向下调整。
This petition is bad on an investment in a commercial enterpri in a targeted employment area for which the required amount of capital invested has been adjusted downward.
b. 这份请愿书是基于一个在某个地区的商业企业的投资，所需投入资金的金额已向上调整。
This petition is bad on an investment in a commercial enterpri in an area for which the required amount of
c. 这份请愿书是基于一个不在任何一个目标区域或向上调整区域的商业企业的投资。
This petition is bad on an investment in a commercial enterpri that is not in either a targeted area or in an upward adjustment area.
第三部分 您的投资项目信息
Part 3. Information About Your Investment
你所投入资金的商业企业项目名称（必填项，请不要空缺）
Name of commercial enterpri in which funds are invested (Required Field – Do Not Leave Blank)
街道地址signal
收到：
RECEIVED:
提交：
RESUBMITTED:
搬迁：发送
冬天适合钓什么鱼RELOCATED: SENT
海子诗选记录 REC ’D
第三部分 您的投资项目信息（续）
如果您不是该新的商业企业的唯一投资人，请在另外一张纸上列出持有新企业所有权百分比份额的其他合伙人（自然人或非自然人），并说明是否这些合伙人都寻求被分类为外国企业家。根据第203(b)(5)条款，包括名称、所有权百分比、是否在寻求分类。注：一个“自然的”合伙人是一个自然人，一个“非自然的”合伙人是一个实体，如一个企业、财团、投资集团、合伙公司等。
If you are not the sole investor in the new commercial enterpri, list on parate paper the names of all other parties (natural and non-natural) who hold a percentage share of ownership of the new enterpri and indicate whether any of the parties is eking classification as an alien entrepreneu
r. Include the name, percentage of ownership, and whether or not the person is eking classification under ction 203(b)(5). NOTE: A “natural” party would be an individual person, Part 4. Additional Information About the Enterpri
企业类型（选择一项）
Type of Enterpri (check one):
由创建一个新的业务而产生的新的商业企业。
New commercial enterpri resulting from the creation of a new business. 由购买现有业务而产生的新的商业企业。
New commercial enterpri resulting from the purcha of an existing business. 由资本投资现有业务而产生的新的商业企业。
New commercial enterpri resulting from a capital investment in an existing business.
请愿者投资的构成：
求婚成功Composition of the Petitioner ’s Investment:
美国银行账户总额
Total amount in U.S. bank account 美元$ 在企业购置使用的资产的总额
插花图片大全Total value of all asts purchad for u in the enterpri 美元$ 从国外转移到新的企业全部财产的总额
Total value of all property transferred from abroad to the new enterpri 美元$ 全部债务融资总额
Total of all debt financing 美元$ 股权收购总额
Total stock purchas
美元$ 其他（在空白纸上说明）
Other (explain on parate paper) 美元$ 总金额 Total 美元$
收益： Income:
当你投资时 When you made the investment 总额美元$
Gross $
净额美元$
Net $
当前 Now 总额美元$
Gross $
净额美元$ Net $
资本净值
Employment Creation Information
在美国企业正式职工人数（除你本人、配偶、子女）
在新的商业企业中您的职位、职务或者头衔是什么？
What is your position, office, or title with the new commercial enterpri?
简要描述您的职责、活动和责任。
Briefly describe your duties, activities, and responsibilities.
Part 6. Processing Information
选择一项： Check One:
在第一部分提到的申请人现在在美国，如果请愿书获批，将提出申请调整为永久居民身份。
The person named in Part 1 is now in the United States, and an application to adjust status to permanent resident will be filed if this petition is approved.
在第一部分提到的申请人希望到国外申请移民签证，如果请愿书获批，请完成下表信息：
If the petition is approved and the person named in Part 1 wishes to apply for an immigrant visa abroad, complete the
现居住地所在国家，或者，如果现在在美国，上一个国外的永久居住地址：
Country of current residence or, if now in the United States, la permanent residence abroad:
如果你在第一部分中提供了一个美国地址，请写下个人的国外地址：
If you provided a United States address in Part 1, print the person’s foreign address:
宁的多音字组词如果个人的本国文字不是罗马字母，请用本国文字写下国外地址：
If the person’s native alphabet is other than Roman letters, write the foreign address in the native alphabet:
你是否曾被驱逐出境或被启动遣返程序？Are you in deportation or removal proceedings? 是（请另附一张纸说明）
Yes (Explain on parate paper)
否
别扭读音
谢文彦No
你未经允许在美国工作过吗？
Have you ever worked in the United States without permission? 是（请另附一张纸说明）
Yes (Explain on parate paper)
否
No
第七部分签字请在完成以下部分之前阅读指示的处罚部分。
Part 7. Signature Read the information on penalties in the instructions before completing this ction.
我保证，根据美利坚合众国法律伪证罪，该请愿书并与之提交的证据都是真实和正确的。本人愿意公开本人记录中所有信息，供美国公民及移民服务局来确定我寻求的利益是否符合申请资格。
I certify, under penalty of perjury under the laws of the United States of America, that this petition an
d the evidence submitted with it is all true and correct. I authorize the relea of any information from my records that U.S. Citizenship
请资格，该申请可能会被拒绝。
NOTE: If you do not completely fill out this form of fail to the submit the required documents listed in the instructions, you may not be found eligible for the immigration benefit you are eking and this petition may be denied.
第八部分除上述人之外的填发人签字（下方签字）
Part 8. Signature of Person Preparing Form, If Other Than Above (Sign below)
本人声明，应上述申请人要求并基于我知晓的所有信息填写该份申请表。
I declare that I prepared this application at the request of the above person, and it is bad on all information of which I
Address
