Form N-400 - Application For Naturalization - U.s. Citizenship And Immigration Services Page 18
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20A-
Part 14. Interpreter's Contact Information, Certification, and Signature
(continued)
Interpreter's Contact Information
4.
Interpreter's Daytime Telephone Number
5. Interpreter's Mobile Telephone Number (if any)
6.
Interpreter's Email Address (if any)
Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and
, which is the same language specified in Part 13., Item B. in
Item Number 1., and I have read to this applicant in the identified language every question and instruction on this application and his
or her answer to every question. The applicant informed me that he or she understands every instruction, question and answer on the
application, including the Applicant's Certification and has verified the accuracy of every answer.
Interpreter's Signature
7.
Interpreter's Signature
Date of Signature (mm/dd/yyyy)
Part 15. Contact Information, Declaration, and Signature of the Person Preparing This Application, if
Other Than the Applicant
Provide the following information about the preparer.
Preparer's Full Name
1.
Preparer's Family Name (Last Name)
Preparer's Given Name (First Name)
2.
Preparer's Business or Organization Name (if any)
Preparer's Mailing Address
3.
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code + 4
-
Province
Postal Code
Country
Form N-400 12/23/16 N
Page 18 of 20
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