Part 8: Preparer's Contact Information, Declaration, and Signature

Provide the following information about the preparer if someone prepared this petition.

Preparer's Full Name

Preparer family name is required when preparer information is provided.
Preparer given name is required when preparer information is provided.

Preparer's Mailing Address

Street number and name is required when preparer information is provided.
Unit number is required when Apt., Ste., or Flr. is selected.
City or town is required when preparer information is provided.
State is required for a U.S. mailing address.
Enter a valid ZIP Code.
Country is required when preparer information is provided.

Preparer's Contact Information

Enter a valid daytime telephone number.
Enter a valid mobile telephone number, or leave it blank.
Enter a valid email address, or leave it blank.

Preparer's Statement

Preparer's Certification

By my signature, I certify, under penalty of perjury, that I prepared this petition at the request of the petitioner. The petitioner then reviewed this completed petition and informed me that they understand all of the information contained in and submitted with this petition, and that all of this information is complete, true, and correct.

Preparer's Signature