Name of the petitioner
Address of the petitioner
Date
USCIS
2501 South State Highway
121 Business
Suite 400
Lewisville, TX 75067
Dear USCIS
In compliance with the International Marriage Broker regulation Act (IMBRA), I respectfully
request a waiver if one is needed on filing limitations in connection with my current
petition to my fiancee: Name of fiancee
I believe a waiver is appropriate in my circumstance because I have no criminal history
with regard to the "specified crimes" under IMBRA.
I have one prior approved petition application for my fiancee: Ms. XXX, of
the republic of the COUNTRY, receipt # EACXXXXX, Manila case # XXXXX,
and A # XXXXXXXX.
name of alien fiancee: XXXXXX
Place of filing: XXXXXXXX
Date of filing: XXXXXXXX
Result: Petition approved by USCIS on XXXXXXXX
I filed an I-129F packet in ..................................
Sincerely,
PETITIONER'S NAME
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