I-130 Checklist Page 2

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Law Office of Marc P. Feldman
440 SPEEDWELL AVENUE
Fax: (973) 267-7586
MORRIS PLAINS, NJ 07950
Telephone: (973) 267-7555
Relatives Information
1. Last name:
First name:
Full middle name:
2. Relation:
If this petition is being filed by your spouse, give the last address at which you lived together with your spouse.
Address
From Date
To Date
3. Gender:
4. Marital Status:
5. Date and Place of Marriage
6. Country of citizenship/Nationality:
7. Country of birth:
8. Date of birth:
9. Place of birth(City/State):
10. Social security number (if app):
11. A# (if app):
12. I-94 Number:
Visa Information
1. Foreign Consulate City:
2. Foreign Consulate Country:
3. Nearest USCIS Office (City):
4. Nearest USCIS Office (State):
Have you ever been to the U.S.?

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