N-400 Addendum Form (Part 9) Page 2
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2N-400 Addendum
Name _________________________________
A –
PART 9
. INFORMATION ABOUT YOUR MARITAL HISTORY (continued)
9. If you were married before, provide the following information about your prior spouse.
Middle Name (if
A. Your Prior Spouse’s Family Name
(Last Name)
Given Name (First Name)
applicable)
B. Your Prior Spouse’s Immigration Status When Your Marriage Ended
U.S. Citizen
Permanent Resident
Other (explain)
C. Your Prior Spouse’s Date of Birth
D. Your Prior Spouse’s Country of Birth
(mm/dd/yyyy)
E. Your 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):
___________________________________________________________________________________________
Middle Name (if
A. Your Prior Spouse’s Family Name
(Last Name)
Given Name (First Name)
applicable)
B. Your Prior Spouse’s Immigration Status When Your Marriage Ended
U.S. Citizen
Permanent Resident
Other (explain)
C. Your Prior Spouse’s Date of Birth
D. Your Prior Spouse’s Country of Birth
(mm/dd/yyyy)
E. Your 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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