N-400 Addendum Form (Part 9)

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N-400 Addendum
Name _________________________________
A –
PART 9.
INFORMATION ABOUT YOUR MARITAL HISTORY (continued)
8.
How many times has your current spouse been married (
including annulled marriages and marriages to the same
person)?
A. Prior Spouse ‘s Family Name
(Last Name)
Given Name (First Name)
Middle Name (if applicable)
B. Prior Spouse’s Immigration Status
U.S. Citizen
Permanent Resident
Other (explain)
C. Prior Spouse’s Date of Birth
D. Prior Spouse’s Country of Birth
(mm/dd/yyyy)
E. Prior Spouse’s Country of Citizenship or Nationality
F. Date of marriage with Prior Spouse
G. Date Marriage Ended with Prior Spouse
(mm/dd/yyyy)
(mm/dd/yyyy)
H. How Marriage Ended with Prior Spouse
Annulled
Divorced
Spouse Deceased
Other (explain):
___________________________________________________________________________________________
A. Prior Spouse ‘s Family Name
(Last Name)
Given Name (First Name)
Middle Name (if applicable)
B. Prior Spouse’s Immigration Status
U.S. Citizen
Permanent Resident
Other (explain)
C. Prior Spouse’s Date of Birth
D. Prior Spouse’s Country of Birth
(mm/dd/yyyy)
E. Prior Spouse’s Country of Citizenship or Nationality
F. Date of marriage with Prior Spouse
G. Date Marriage Ended with Prior Spouse
(mm/dd/yyyy)
(mm/dd/yyyy)
H. How Marriage Ended with Prior Spouse
Annulled
Divorced
Spouse Deceased
Other (explain):
Your Signature
Date (mm/dd/yyyy)

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