Form N-600k - Application For Citizenship And Issuance Of Certificate Under Section 322 Page 7

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Part 6. Information About the Legal Guardian
A-
NOTE: Complete this part only if your legal guardian is filing this application in lieu of a deceased U.S. citizen parent.
1.
Current Legal Name of the Legal Guardian
Family Name (Last Name)
Given Name (First Name)
Middle Name
2.
Date of Birth (mm/dd/yyyy)
3.
Country of Birth
4.
U.S. Social Security Number (if applicable)
Physical Address
5.
Street Number and Name (Do not provide a PO Box in this space unless it is your ONLY address.) Apt. Ste. Flr. Number
City or Town
State
ZIP Code
-
Province
Postal Code
Country
6.
Daytime Telephone Number
Work Telephone Number (if any)
7.
8.
Evening Telephone Number
9.
Mobile Telephone Number (if any)
10.
Email Address (if any)
11.
The legal guardian is a U.S. citizen by:
Birth in the United States
Acquisition after birth through naturalization of alien parents
Birth abroad to U.S. citizen parents
Certificate of Citizenship Number
A-Number (if known)
A-
Naturalization
Place of Naturalization
Name of Court or USCIS Office Location
City or Town
State
Certificate of Naturalization Number
A-Number (if known)
Date of Naturalization (mm/dd/yyyy)
A-
Form N-600K 02/13/17 N
Page 7 of 13

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Parent category: Legal