California Form Re 205 – Fill Out and Use This PDF

APPLICANT'S NAME

ID NUMBER (if known or appropriate)

REAL ESTATE BROKER

REAL ESTATE SALESPERSON

REAL ESTATE OFFICER

MINERAL, OIL AND GAS BROKER

PREPAID RENTAL LISTING SERVICE LICENSE

PAYMENT FROM THE REAL ESTATE

RECOVERY ACCOUNT

1. Are you a citizen or national of the United States?................................................................

Yes

No

Analienlawfullyadmittedforpermanentresidenceunder the Immigration and Naturalization Act (INA).

An alien who is granted asylum under Section 208 of the INA.

A refugee admitted to the United States under Section 207 of the INA.

An alien whose deportation is being withheld under Sec- tion 243(h) of the INA.

An alien who is granted conditional entry under Section 203(a)(7) of the INA as in effect prior to April 1, 1980.

An alien paroled into the United States for at least one year under Section 212(d)(5) of the INA.

An alien paroled into the United States for less than one year under Section 212(d)(5) of the INA.

An alien who has been declared a “battered alien.”

An alien not in categories 1 through 7 who has been ad- mitted to the United States for a limited period of time (a

non-immigrant). Non-immigrants are persons who have temporary status for a speciic purpose.

APPLICANT’S SIGNATURE

»

DATE:

liSt A

AAcceptAble DocumentS to eStAbliSh u.S. citizenShip

A person who is a citizen of the United States as evi- denced by one of the following:

1.A birth certiicate issued in or by a city, county, state,

orothergovernmentalentitywithintheUnitedStates or its outlying possessions.

2.A U.S. Certiicate of Birth Abroad (FS-545, DS-135) or a Report of Birth Abroad of a U.S. Citizen (FS-240).

3.A birth certiicate or passport issued from:

A.Puerto Rico, on or after January 13, 1941.

B.Guam, on or after January 17, 1917.

C.U.S. Virgin Islands, on or after January 17, 1917.

D.Northern Mariana Islands, after November 4, 1986.

E.American Samoa.

F.Swain’s Island

G.District of Columbia.

4.A U.S. passport (expired or unexpired).

5.Certiicate of Naturalization (N-550, N-570, N-578).

6.Certiicate of Citizenship (N-560, N-561, N-645).

7.U.S. Citizen Identiication Card (I-179, I-197).

8.An individual Fee Register Receipt (Form-G-711) that shows that the person has iled an application for a New Naturalization or Citizenship Paper (Form N-565).

9.Any other acceptable document which establishes a U.S. place of birth or indicates U.S. citizenship.

liSt b

BAcceptAble DocumentS to

eStAbliSh Alien StAtuS

An alien lawfully admitted for permanent residence under the Immigration and Naturalization Act (INA) must submit supporting documentation to establish legal presence under one of the following categories:

1.An alien lawfully admitted for permanent residence undertheImmigrationandNaturalizationAct(INA). Evidence includes:

•INS Form I-551 (Alien Registration Receipt Card commonly knows as a “green card”); or

•Unexpired Temporary I-551 stamp in foreign

passport or on INS Form I-94.

2.An alien who is granted asylum under section 208 of the INA. Evidence includes:

•INS Form I-94 annotated with stamp showing grant of asylum under section 208 of the INA.

•INS Form I-688B (Employment Authorization Card) annotated “274a.12(a)(5)”

•INS Form I-766 (Employment Authorization Document) annotated :A5:

•Grant Letter from the Asylum Ofice of INS or

•Order of an immigration judge granting asy- lum.

3.A refugee admitted to the United States under sec- tion 207 of the INA. Evidence includes:

•INS Form I-94 annotated with stamp showing admission under s207 of the INA

•INS Form I-688B (Employment Authorization Card) annotated “274a.12(a)(3)”

•INS Form I-766 (Employment Authorization Document) annotated “A3”

•INS Form I-571 (Refugee Travel Document).

4.An alien paroled into the United States for at least one year under section 212(d)(5) of the INA. Evidence includes:

•INS Form I-94 with stamp showing admission for at least one year under Section 212(d)(5) of the INA.

5.An alien whose deportation is being withheld under section 243(h) of the INA (as in effect immediately prior to September 30, 1996) or Section 241(b)(3) of such Act (as amended by section 305(a) of division C of Public Law 104-208). Evidence includes:

•INS Form I-668B (Employment Authorization Card) annotated “274a.12(a)(10)”

•INS Form I-766 (Employment Authorization Document) annotated “A10” or

•Order from an immigration judge showing de- portation withheld under s243(h) of the INA as in effect prior to April 1, 1997, or removal with- held under s241(b)(3) of the INA.

6.An alien who is granted conditional entry under section 203(a)(7) of the INA as in effect prior to April 1, 1980. Evidence includes:

•INS Form I-94 with stamp showing admission under s203(a)(7) of the INA

•INS Form I-688B (Employment Authorization Card) annotated “274a.12(a)(3)” or

•INS Form I-766 (Employment Authorization Document) annotated “A3”

7.An alien who is a Cuban or Haitian entrant (as deined in section 501(e) of the Refugee Education Assistance Act of 1980). Evidence includes:

•INS Form I-551 (Alien Registration Receipt Card, commonly known as a “green card”) with the code CU6, CU7, or CH6;

•Unexpired temporary I-551 stamp in foreign passport or on INS Form I-94 with code CU6 or CU7; or

•INS Form I-94 with stamp showing parole as “Cuba/Haitian Entrant” under Section 212(d)(5) of the INA

8.An alien paroled into the United States for less than oneyearundersection212(d)(5)oftheINA. Evidence includes:

•INS Form I-94 showing this status.

9.An alien who has been declared a battered alien. Evidence includes:

•INS petition and supporting documentation.