Re: Diversity Visa Green Card Lottery Program October 1, 2013-November 2, 2013

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1 September 23, 2013 Re: Diversity Visa Green Card Lottery Program October 1, 2013-November 2, 2013 Dear Client: I am writing to advise that the registration period for the next Diversity Immigrant Visa Lottery will start on October 1, 2013 and will end at noon, Eastern Standard Time (EST) on November 2, If you wish to have us assist with your application, we require the following be completed and returned to our office at your earliest convenience but no later than October 25, Applications received after this date may not be processed. 1. Service Contract: Please review, complete and sign. 2. Legal Fee: As indicated on Page 1 of the Data Sheet, thi s may be paid via check, money order or credit card (Mastercard, Visa or American Express). 3. Data Sheet (4 pages): Please complete all sections and sign. If you are applying as a married couple, only one Data Sheet is required. We will process one application for each spouse. 4. Photographs (2 photographs per person): The photo requirements for the DV Lottery are complex, requiring digitized photos meeting very exact specifications. Our office will scan your hard copy photos to ensure they meet Department of State specifications. Therefore, please provide two recent passport style photographs of yourself, your spouse and each child, including all natural children as well as all legally-adopted and stepchildren, who are unmarried and under the age of 21 years, even if you are no longer married to the child s parent, and even if the child does not currently reside with you and/or will not immigrate with you. Group photos will not be accepted. The size of these photographs must be 2 inches square, or 50 x 50 mm, facing forward. Color or black and white photographs are acceptable. The photo background must be plain white or off-white. You must print the full name and date of birth of each family member on the back of each photo. We must receive all of the above items in order to process and file your application for the DV Visa Program. Should you have any further questions, please do not hesitate to contact the Lottery Department at (310) or at: Sincerely, Bernard P. Wolfsdorf Attorney at Law

2 SERVICE AGREEMENT Please review this service agreement carefully, and if satisfactory, sign and return it together with your retainer. This Service Agreement is made on (date) between the Client (the term Client includes the undersigned, sponsor, petitioner, beneficiary, employer or agent of these parties) and Bernard P. Wolfsdorf, a Professional Law Corporation (hereinafter the Attorney ). 1. The Client hereby retains the said Attorney to prepare and submit an application for the Diversity Immigrant (DV) Program for (please print or type name). 2. The Client hereby agrees to pay to said Attorney the total legal fee of -- a) $150 for one adult applicant, or b) $200 for a married couple (exclusive of miscellaneous charges such as government filing fee, photocopies, long distance/overseas telephone calls, mail, courier, and international facsimiles). Late Applications, (those received within the last 10 days of the close of registration program), will be charged a $50 rush fee. To submit an application for the Diversity Lottery Program, payment to be made as follows: a non-refundable retainer in the amount of total legal fee due upon commencement of the case. 3. The Client understands and agrees that the above-mentioned fees relate to preparing and filing the application only and does not include work performed such as immigrant visa processing at a Consulate abroad or adjustment of status in the United States. Retaining said Attorney for such additional services after successful selection is optional for client. The agreement does not include any legal services in connection with any expedite or appeal, nor does it include services concerning rescheduling of interviews, overcoming grounds of removal or obtaining waivers of ineligibility for any reason including overstays. Legal services are limited only to those listed in this agreement based on the law and facts in effect as of the date of this agreement. 4. If there is any disagreement or dispute between the Client and the Attorney concerning fees, this retainer agreement, or any other claim which arises out of our representation of you, it is hereby agreed such dispute will be submitted to binding arbitration under Section 1280 of the Code of Civil Procedure of the State of California relating to arbitration of contract disputes. The prevailing party shall be entitled to reasonable attorney's fees and costs incurred in such arbitration. Client and undersigned agree that this contract shall be governed and construed according to the law of California, which shall have exclusive jurisdiction in regard to matters arising from this Agreement. 5. That both Attorney and the Client will use their best efforts in furthering the purposes of the Agreement but the Client understands and agrees that the fees set forth are payable in full at the times indicated above and that Attorney is entitled to cease providing services if fees are outstanding. Client understands that the DV Program regulations provide for random selection and, therefore, results are unpredictable. Fees are deemed due whether Attorney is or is not successful in his efforts on behalf of the Client, and that no assurances or guarantee of success has been given or requested, the fees being fully earned solely by the Attorney furnishing his best efforts in the Client s behalf. If client withdraws from the case after the file has been opened by the Attorney no refund need be paid and any unpaid costs or outstanding fees shall be due and payable. 6. Client agrees that the fees paid pursuant to this Agreement will be deposited in our general account for our use. Service Agreement Executed by: Bernard P. Wolfsdorf BERNARD P. WOLFSDORF Attorney at Law x (signature) Client

3 (Page 1 of 4 Please type or print neatly.) PAYMENT INFORMATION LEGAL FEE (Check one box): $150 for one adult applicant (for principal applicant only) or $200 for a married couple (for principal applicant & spouse) Payment enclosed (Check one box): U.S. Money Order or Cashier s Check International Money Order Personal or Business Check Drawn on U.S. Bank Applicant s Name Charge to Credit Card: MasterCard or VISA or American Express (Please note: We accept only these credit cards.) Card # Expire date Cardholder sign here X PRINT Cardholder Name Cardholder s Billing Address Cardholder s Home Telephone Work Telephone * * * * * I have read the information provided by Bernard P. Wolfsdorf, a Professional Law Corporation (Attorney) concerning the Diversity Immigrant Visa (DV) Program (pursuant to Section 203(c) of the Immigration and Nationality Act) and agree to provide accurate information. I understand that there is no guarantee that I will be successful in this application and that Attorney will undertake his best efforts on my behalf. I nevertheless wish to apply, and I also understand that the representation provided will be limited to submission of the application only. If additionally retained, further services relating to immigrant visa processing or adjustment of status may be provided. I have read and fully understand the contents of this agreement, and I accept these terms of limited representation. X PRINCIPAL APPLICANT (signature) DATE BERNARD P. WOLFSDORF - LOTTERY

4 (Page 2 of 4 Please type or print neatly.) Feel free to duplicate the Data Sheet and Service Agreement. Return the completed Data Sheet, photographs, signed Service Agreement and payment to: Law Offices of Bernard P. Wolfsdorf, ND STREET, SANTA MONICA, CA USA (310) FAX: (310) Web Site: CONTACT INFORMATION - Please inform us of any changes. Your Name Your Address Your Home Telephone Your Work Telephone Your FAX Your Address Address IS REQUIRED!! SECONDARY CONTACT INFORMATION (This should be a relative or friend who will always know where to contact you, preferably someone in the United States. Please let them know that our office may be in contact with them.) Secondary Contact Name Secondary Contact Address Secondary Home Telephone Secondary Work Telephone Secondary FAX Secondary Address Please send all correspondence to: My address My address Secondary Contact address REFERRAL SOURCE (How you heard about our office.) I am currently a client of your law firm. I am a prior client of your law firm. Advertisement in My associate/friend (Name of Publication) (Provide full name) My employer My school (Company Name) (Name of school) Other:

5 BERNARD P. WOLFSDORF - LOTTERY (Page 3 of 4 Please type or print neatly.) The State Department has established processing criteria that can affect the success of your DV application. Please read the following instructions carefully, and provide ALL information as requested. Current DV regulations require complete biographic details of yourself, your spouse (regardless of immigration or marital status), and all natural children, as well as all legally-adopted and stepchildren, who are unmarried and under the age of 21 years, even if you are no longer legally married to the child s parent and even if the child does not currently reside with you and/or will not immigrate with you. Provide full legal names as listed on birth certificates, or current legal names as documented by a marriage certificate or other court document. FAILURE TO PROVIDE COMPLETE INFORMATION WILL DISQUALIFY YOUR APPLICATION. Therefore, it is vital that you include ALL immediate family members on the Data Sheet, and answer all questions completely. Any mistakes may result in disqualification, therefore all information must be clearly readable and accurate. Please note that we request date of birth in order of Month, Day and Year. Should you have any questions, please contact the Lottery Department at (310) PRINCIPAL APPLICANT -- Last Name: First Name: Middle Name(s): 2. Date of Birth: (D) / (M) / (Y) 3. Place of Birth: 4. Education of Principal Applicant: 5. Gender: Male Female a. Highest level of education you have achieved, as of today. Please choose from one of ten options: primary school high school, no degree high school degree vocational school some university courses university degree some graduate level courses master degree some doctorate level course doctorate degree b. I have the equivalent of a high school education. Yes No 6. Marital Status: Single (Never married) Married Widowed Divorced Separated 7. Current Immigration Status (if applicable) 8. Last or current residence outside of the U.S.: (City, Province, Country) 9. Country where you live today: 10. SPOUSE -- Last Name: First Name: Middle Name(s): 11. Date of Birth: (D) / (M) / (Y) 12. Place of Birth: 13. Education of Spouse: 14. Gender: Male Female a. Highest level of education you have achieved, as of today. Please choose from one of ten options: primary school high school, no degree high school degree vocational school some university courses university degree some graduate level courses master degree some doctorate level course doctorate degree b. I have the equivalent of a high school education. Yes No 15. Immigration Status of Spouse: U.S. Citizen Lawful Permanent Resident (has green card) 16. Last or current residence outside of the U.S.: (City, Province, Country) ** Please remember to include two passport style photos (2 inches square, or 50 x 50 mm) ** ** of yourself, two photos of your spouse and two photos of each child when returning these forms.**

6 I/We do not have any children. CHILDREN I/We have listed ALL children who are unmarried and under the age of 21 years. (Page 4 of 4 Please type or print neatly.) CHILDREN (continued) (If you have more than 5 children, please make an extra copy of this page.) ALL children who are unmarried and under the age of 21 years must be included on the Diversity Visa Lottery Application. Should you or your spouse be selected as a winning applicant, please be aware that children over the age of 21 years will not be eligible to immigrant visa process for a derivative green card. Any persons over the age of 21 wishing to enter the Diversity Visa Lottery should submit an individual application where he/she is listed as the Principal Applicant. If your child s 21 st birthday occurs before final green card approval, this child cannot be granted a derivative green card. We strongly recommend submitting an individual application where he/she is listed as the Principal Applicant. If any of your children will complete high school by October of the DV fiscal year, we suggest submitting an individual application as well doubling their chance of selection. Please send me additional DV Lottery packages so my children may also submit individual applications. 15. CHILD -- Male Female Last Name: Middle Name(s): 16. Date of Birth: (D) / (M) / (Y) 3. Place of Birth: 18. CHILD -- Male Female Last Name: Middle Name(s): 19. Date of Birth: (D) / (M) / (Y) 3. Place of Birth: 21. CHILD -- Male Female Last Name: Middle Name(s): 22. Date of Birth: (D) / (M) / (Y) 3. Place of Birth: 24. CHILD -- Male Female Last Name: Middle Name(s): 25. Date of Birth: (D) / (M) / (Y) 3. Place of Birth:

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