Form I-485 - Application To Register Permanent Residence Or Adjust Status Page 8
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A-Number
A-
Child 2
Part 5. Information About Your Marital History
Current Legal Name
(continued)
7.a. Family Name
Place Where Marriage with Prior Spouse Legally Ended
(Last Name)
16.a.
City or Town
7.b.
Given Name
(First Name)
7.c.
Middle Name
16.b.
State or Province
8.
A-Number (if any)
►
A-
16.c.
Country
9.
Date of Birth (mm/dd/yyyy)
10.
Country of Birth
Part 6. Information About Your Children
1.
Indicate the total number of ALL living children
11.
Is this child applying with you?
Yes
No
(including adult sons and daughters) that you have.
NOTE: The term “children” includes all biological or
Child 3
legally adopted children, as well as current stepchildren,
Current Legal Name
of any age, whether born in the United States or other
12.a. Family Name
countries, married or unmarried, living with you or
(Last Name)
elsewhere and includes any missing children and those
12.b.
Given Name
born to you outside of marriage.
(First Name)
12.c.
Middle Name
Provide the following information for each of your children.
If you have more than three children, use the space provided in
13.
A-Number (if any)
Part 14. Additional Information.
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A-
Child 1
14.
Date of Birth (mm/dd/yyyy)
Current Legal Name
2.a. Family Name
15.
Country of Birth
(Last Name)
2.b.
Given Name
(First Name)
16.
Is this child applying with you?
Yes
No
2.c.
Middle Name
3.
A-Number (if any)
Part 7. Biographic Information
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A-
1.
Ethnicity (Select only one box)
4.
Date of Birth (mm/dd/yyyy)
Hispanic or Latino
5.
Country of Birth
Not Hispanic or Latino
2.
Race (Select all applicable boxes)
White
6.
Is this child applying with you?
Yes
No
Asian
Black or African American
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Form I-485 06/26/17 N
Page 8 of 18
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Parent category: Legal