Appendix 25-2 Model Notice of Automatic Termination of Conditional Residence of Immigrant
Investor/Alien Entrepreneur Based upon Failure to Properly File Form I-829 Petition.
MODEL NOTICE OF AUTOMATIC TERMINATION OF CONDITIONAL RESIDENCE
OF IMMIGRANT INVESTOR/ALIEN ENTREPRENEUR BASED UPON
FAILURE TO PROPERLY FILE FORM I-829 PETITION
Notice of Conditional Resident Status Termination
A review of the records of the Immigration and Naturalization Service (Service) reveals that you were
admitted to the United States as a conditional permanent resident on [insert date of admission or
In accordance with the provisions of section 216A(c)(2) of the Immigration and Nationality Act (the Act),
you were required to file a petition ( Form I-829 ) requesting removal of the conditional basis of residence
between [insert date 21 months after date of admission or adjustment] and [insert date 24 months after
date of admission or adjustment]. As of this date, the Service has no record that you have filed such a
Therefore, in accordance with the provisions of Section 216A(c)(2)(A) of the Act, the permanent
residence status previously accorded you is hereby terminated as of [insert date 24 months after date of
admission or adjustment].
All privileges that you have derived from the status, including the privileges to reside and work in the
United States, are terminated concurrently.
A Notice to Appear is attached, or will be forwarded under separate cover to you. Your file is being
forwarded to the Office of District Counsel of the USCIS District Office having jurisdiction over the
location of your last known address. All inquiries should be made to the District Counsel Office.
In accordance with section 216A(c)(2)(B) of the Act, you may request review of this determination in
removal proceedings. In those proceedings, you shall have the burden of proving your compliance with
the requirement to file the petition ( Form I-829 ) within the designated period.
Appendix 25-2 Model Notice of