Form I-485, Application to Register Permanent Residence Completed Form Examples and Samples
Explore this I-485 sample form example for adjusting status to Permanent Residence. This guide provides a detailed, filled form for family members, showcasing how to accurately complete personal information, immigration history, and signatures, tailored for spouses of U.S. citizens.
I-485 Example – Adjustment of Status for Family Member
How this form was filled:
This filled I-485 form example demonstrates the application process for a family member seeking adjustment of status to Permanent Resident. The form includes personal information, immigration history, and signatures, ensuring all details are filled accurately.
Information used to fill out the document:
- Full Name: John Smith
- Date of Birth: 1987-09-15
- Place of Birth: London, United Kingdom
- Current U.S. Address: 456 Elm Street, Chicago, IL 60607
- Current Immigration Status: Nonimmigrant Visa Holder
- Family Relationship: Spouse of U.S. Citizen
- Signature: John Smith
- Date of Signature: 2025-02-20
What this filled form sample shows:
- Accurate personal information with full name and birth details
- Complete U.S. address for the applicant
- Current immigration status identified
- Verification of family relationship as spouse of U.S. citizen
- Correctly filled and signed certification
Form specifications and details:
| Use Case: | Family member adjusting status to Permanent Resident |
| Form Version: | 2023 Edition |
| Eligibility: | Spouse of U.S. Citizen applying for adjustment of status |
