Form N-400 - Application For Naturalization - U.s. Citizenship And Immigration Services Page 12

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A-
Part 12. Additional Information About You (Person Applying for
Naturalization) (continued)
6.
Do you owe any overdue Federal, state, or local taxes?
Yes
No
7.
A.
Have you EVER not filed a Federal, state, or local tax return since you became a lawful permanent
Yes
No
resident?
B.
If you answered "Yes," did you consider yourself to be a "non-U.S. resident"?
Yes
No
8.
Have you called yourself a "non-U.S. resident" on a Federal, state, or local tax return since you became a
Yes
No
lawful permanent resident?
9.
A.
Have you EVER been a member of, involved in, or in any way associated with, any organization,
Yes
No
association, fund, foundation, party, club, society, or similar group in the United States or in any other
location in the world?
B. If you answered "Yes," provide the information below. If you need extra space, attach the names of the other groups on
additional sheets of paper and provide any evidence to support your answers.
Name
Purpose
Dates of Membership
From
To
of the
of the
(mm/dd/yyyy)
(mm/dd/yyyy)
Group
Group
10.
Have you EVER been a member of, or in any way associated (either directly or indirectly) with:
A.
The Communist Party?
Yes
No
B.
Any other totalitarian party?
Yes
No
C.
A terrorist organization?
Yes
No
11.
Have you EVER advocated (either directly or indirectly) the overthrow of any government by force or
Yes
No
violence?
12.
Have you EVER persecuted (either directly or indirectly) any person because of race, religion, national
Yes
No
origin, membership in a particular social group, or political opinion?
13.
Between March 23, 1933 and May 8, 1945, did you work for or associate in any way (either directly or
indirectly) with:
A.
The Nazi government of Germany?
Yes
No
B.
Any government in any area occupied by, allied with, or established with the help of the Nazi
Yes
No
government of Germany?
Any German, Nazi, or S.S. military unit, paramilitary unit, self-defense unit, vigilante unit, citizen unit,
Yes
No
C.
police unit, government agency or office, extermination camp, concentration camp, prisoner of war
camp, prison, labor camp, or transit camp?
Form N-400 12/23/16 N
Page 12 of 20

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