Form I-881 - Application For Suspension Of Deportation Or Special Rule Cancellation Of Removal Page 4

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Part 5. Information About Your Marital Status and Spouse

Marital Status:

Married

Single (If "single," skip this Part and go to Part 6.)

Divorced

Separated

Widow(er)

1. Information About Spouse:

Name: (Family Name(s), First, Middle)

Date of Marriage: (mm/dd/yyyy)

Place of Marriage: (City and Country)

Place of Birth: (City and Country)

Date of Birth: (mm/dd/yyyy)

Citizenship:

Your spouse currently resides at:

(Indicate "with me" if spouse

Number and Street

Apt #

State/Country

Zip Code

resides with you.)

City or Town

Lawful Permanent Resident

Asylee

U.S. Citizen

If presently residing in the United States, your spouse's present status is:

Asylum Applicant

Other (Describe):

His/her alien registration number(s) are: (List all A#s your spouse has been given) A #

is not employed. If employed, give salary and the name and address of the place(s) of employment.

Your spouse

Full Name and Address of Employer:

Type of Work:

Earnings Per Week:

Employed from:

Employed to:

(Approximate)

(mm/dd/yyyy)

Present

2. Information about previous spouse(s):

been previously married: (If previously married, list the names of each prior spouse, the dates on which each marriage

have

have not

began and ended, the place where the marriage ended, and describe how each marriage ended. Attach additional sheets of paper as needed.)

Place Marriage Ended:

Manner in which marriage

Name of Prior Spouse:

Date Married:

Date Marriage Ended:

(City and Country)

was terminated or ended:

(Family Name(s), First, Middle)

(mm/dd/yyyy)

(e.g., death, divorce)

3. Have you been ordered by any court, or are you otherwise under any legal obligation to provide child support and/or spousal maintenance?

Yes

No (If "Yes," on a separate sheet of paper, explain what type of obligation you have, to whom it is owed, and whether you are

fulfilling that obligation.)

Part 6. Information About Your Child/Children

1. Do you have children?

Yes

No (If "No" then skip this Part and go to Part 7.)

2. List all your children below, regardless of their age, giving the requested information about each of them. (In the address box, indicate "with me"

if the child currently resides with you, or if the child does not live with you, provide his or her address and relationship to the person with whom

he or she lives. Attach additional sheets of paper as needed.)

Place of Birth:

Date of Birth:

Name of Child:

Immigration

A #:

(City and Country)

(mm/dd/yyyy)

(Family Name(s), First, Middle)

Status:

(1)