Form N-400 - Application For Naturalization Page 5

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Write your USCIS A-Number here:
Part 8. Information About Your Marital History
(Continued)
A
Yes
No
C. Is your spouse a U.S. citizen?
D. If your spouse is a U.S. citizen, give the following information:
At Birth
Other
1. When did your spouse become a U.S. citizen?
If ''Other,'' give the following information:
2. Date your spouse became a U.S. citizen
3. Place your spouse became a U.S. citizen (See instructions)
City and State
E. If your spouse is not a U.S. citizen, give the following information :
1. Spouse's Country of Citizenship
2. Spouse's USCIS A- Number (If applicable)
A
3. Spouse's Immigration Status
Lawful Permanent Resident
Other
F.
If you were married before, provide the following information about your prior spouse. If you have more than one previous
marriage, use a separate sheet of paper to provide the information requested in Questions 1-5 below.
1. Prior Spouse's Family Name (Last Name)
Given Name (First Name)
Full Middle Name (If applicable)
2. Prior Spouse's Immigration Status
3. Date of Marriage (mm/dd/yyyy)
4. Date Marriage Ended (mm/dd/yyyy)
U.S. Citizen
Lawful Permanent Resident
5. How Marriage Ended
Other
Divorce
Spouse Died
Other
G. How many times has your current spouse been married (including annulled marriages)?
If your spouse has ever been married before, give the following information about your spouse's prior marriage.
If your spouse has more than one previous marriage, use a separate sheet(s) of paper to provide the information requested in
Questions 1 - 5 below.
1. Prior Spouse's Family Name (Last Name)
Given Name (First Name)
Full Middle Name (If applicable)
2. Prior Spouse's Immigration Status
3. Date of Marriage (mm/dd/yyyy)
4. Date Marriage Ended (mm/dd/yyyy)
U.S. Citizen
Lawful Permanent Resident
5. How Marriage Ended
Other
Divorce
Spouse Died
Other
Form N-400 (Rev. 06/17/11) Y Page 5

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