Form N-400 - Application For Naturalization Page 6
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10Write your USCIS A-Number here:
Part 9. Information About Your Children
A
A.
How many sons and daughters have you had? For more information on which sons and
daughters you should include and how to complete this section, see the Instructions.
B. Provide the following information about all of your sons and daughters. If you need more space, use a separate sheet of paper.
Full Name of
Date of Birth
Current Address
USCIS A- number
Country of Birth
Son or Daughter
(mm/dd/yyyy)
(Street, City, State and Country)
(if child has one)
A
A
A
A
A
A
A
A
Add Children
Go to continuation page
Part 10. Additional Questions
Answer Questions 1 through 14. If you answer ''Yes'' to any of these questions, include a written explanation with this form. Your
written explanation should (1) explain why your answer was ''Yes'' and (2) provide any additional information that helps to explain your
answer.
A. General Questions.
1. Have you ever claimed to be a U.S. citizen (in writing or any other way)?
Yes
No
2. Have you ever registered to vote in any Federal, State, or local election in the United States?
Yes
No
3. Have you ever voted in any Federal,State, or local election in the United States?
Yes
No
4.
Since becoming a lawful permanent resident, have you ever failed to file a required Federal,
Yes
No
State, or local tax return?
5. Do you owe any Federal, State, or local taxes that are overdue?
Yes
No
6. Do you have any title of nobility in any foreign country?
Yes
No
7.
Have you ever been declared legally incompetent or been confined to a mental institution
Yes
No
within the last five years?
Form N-400 (Rev. 06/17/11) Y Page 6
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