Form N-455 Application for Transfer of Petition for Naturalization

OMB No. 1615-0055; Expires 11/30/06

N-455, Application for Transfer
of Petition for Naturalization

Department of Homeland Security
U.S. Citizenship and Immigration Services

[Under Section 335(f) of the INA]

Original
No:
TO THE HONORABLE,

the

, Court
(Court Level)

of

at
(Area)

(Location)

I,

, now residing at
(Name of Applicant)

(Street and Number)

, having filed a petition for naturalization
(City)

(County)

No.

(State)

, in this Court on

, and having removed
(Month)

(Day)

(Year)

from the jurisdiction of said Court on

, hereby apply for the transfer
(Month)

(Day)

(Year)

of my petition to the

, Court
in accordance with the provisions of

at,
(City and State)

section 335(f) of the Immigration and Nationality Act.
(Signature of Applicant)

Subscribed and sworn to before me by the above named applicant at
(City and State)

this

day of

, 20

.
[SEAL]
(Title)

To the Applicant:
You must execute this application in quadruplicate, sign and be sworn to it.
The application may be executed before an officer of U.S. Citizenship and Immigration Services (USCIS). If not executed before an officer
of USCIS, it must be executed before a notary public, clerk of court or other officer authorized to administer oaths for general purposes, and
the seal of the notary, clerk or other officer must be impressed where indicated.
Submit the request to the USCIS office (formerly the office of the Immigration and Naturalization Service) through which you filed your
naturalization petition.
A fee of $90.00 must accompany your application. The fee is required for filing the application and is not returnable regardless of the action
taken thereon. Do not mail cash. Payment by check or money order must be drawn on a bank or other institution located in the United
States and be payable in U.S. currency. Exception: If your petition for naturalization was filed in the U.S. Virgin Islands, make the check or
money order payable to the "Commissioner of Finance, U.S. Virgin Islands"; and if in Guam, to the "Treasurer, Guam." All other applicants
must make the check or money order payable to the Department of Homeland Security. When a check is drawn on an account of a person
other than the applicant, the name of the applicant must be entered on the face of the check. Personal checks are accepted subject to
collection. An uncollected check will render the application and any documents issued pursuant thereto invalid. A charge of $30.00 will be
imposed if a check in payment of a fee is not honored by the bank on which it was drawn. (See last page for additional information.)

Do Not Write Below This Line.
Investigation having fully established that the applicant was removed from the jurisdiction of the Court as alleged in his or her application,
approval of the transfer of the petition for naturalization is hereby given.

, 20
(District Director or Officer in Charge, U.S. Citizenship and Immigration Services)

Form N-455 (Rev. 03/10/06)Y

Original

Order of Transferor Court

In the

Court of
(Court Level)

(Area)

at

.

(Location)

Upon consideration of the foregoing request and approval of the transfer by U.S. Citizenship and Immigration Services, it is hereby
Ordered and Decreed that the request be

granted, and that the pending petition for naturalization,

, filed in this Court shall, upon approval of the transfer by the

No.
of

Court

at

,

be transferred to said Court.
By the Court, this

day of

, 20

.

Judge

Instructions to the Clerk of the Transferor Court-1.

If the Court approves the transfer: (a) the original Order above should be filed with the petition record; (b) the duplicate and
triplicate copies, attested and certified, sent to the Court where the petition is to be transferred; and (c) the quadruplicate copy,
attested and certified, sent to the U.S. Citizenship and Immigration Services office that sent you this application.

2.

If the Court does not approve the transfer, file the original with the petition record and return the three copies to the U.S.
Citizenship and Immigration Services office that sent you this application.

3.

When the Court where the petition is to be transferred approves the application, the triplicate copy of the order of that Court,
attested and certified, will be returned to you for filing. Upon receipt thereof, send to that Court a certified copy of the petition
filed in your Court, together with the originals of all documents filed therewith, and notify the U.S. Citizenship and Immigration
Services office that originally sent you this application.

4.

If the Court where the petition is to be transferred disapproves the transfer, notify the U.S. Citizenship and Immigration Services
office that originally sent you this application.

Form N-455 (Rev. 03/10/06)Y Page 2

OMB No. 1615-0055; Expires 11/30/06

N-455, Application for Transfer
of Petition for Naturalization

Department of Homeland Security
U.S. Citizenship and Immigration Services

[Under Section 335(f) of the INA]

Duplicate
No:
TO THE HONORABLE,

, Court

the
(Court Level)

of

at
(Area)

(Location)

, now residing at

I,
(Name of Applicant)

(Street and Number)

, having filed a petition for naturalization,
(City)

(County)

No.

(State)

, and having removed

, in this Court on
(Month)

(Day)

(Year)

from the jurisdiction of said Court on

, hereby apply for the transfer
(Month)

(Day)

(Year)

, Court

of my petition to the
at,

in accordance with the provisions of
(City and State)

section 335(f) of the Immigration and Nationality Act.

(Signature of Applicant)

Subscribed and sworn to before me by the above named applicant at
(City and State)

this

day of

, 20

.

[SEAL]
(Title)

Investigation having fully established that the applicant has removed from the jurisdiction of the Court as alleged in his or her
application, approval of the transfer of the petition for naturalization is hereby given.

, 20
(District Director or Officer in Charge, U.S. Citizenship and Immigration Services)

Form N-455 (Rev. 03/10/06)Y

Duplicate

Order of Transferor Court
In the

Court of
(Court Level)

(Area)

.

at
(Location)

Upon consideration of the foregoing request and approval of the transfer by U.S. Citizenship and Immigration Services, it is hereby
Ordered and Decreed that the request be

granted, and that the pending petition for naturalization,

, filed in this Court shall, upon approval of the transfer by the

No.

Court

of
be transferred to said Court.

By the Court, this

day of

.

, 20

Judge

Order of Transferee Court
In the

Court of

at

.
Upon consideration of the foregoing request, the approval thereof by the Court where the petition for naturalization is pending and

by U.S. Citizenship and Immigration Services, it is hereby Ordered and Decreed that the transfer to this Court of the petition for
naturalization, No.

, filed in the

at

Court of
is hereby

By the Court, this

day of

approved.
, 20

.

Judge

Instructions to the Clerk of the Transferee Court-When the Court approves or disapproves the transfer:
1. This duplicate copy of the order should be filed in your Court, and the triplicate copy, attested and certified, should be returned to
the transferor court.
2. When the certified copy of the pending naturalization petition and the record is transferred to your Court, further action shall be
taken in accordance with section 334.17(e) of Title 8 of the Code of Federal Regulations.
Form N-455 (Rev. 03/10/06)Y Page 2

OMB No. 1615-0055; Expires 11/30/06

N-455, Application for Transfer
of Petition for Naturalization

Department of Homeland Security
U.S. Citizenship and Immigration Services

[Under Section 335(f) of the INA]

Triplicate
No:
, Court

the

TO THE HONORABLE,

(Court Level)

of

at
(Area)

(Location)

, now residing at

I,
(Name of Applicant)

(Street and Number)

, having filed a petition for naturalization,
(City)

(County)

(State)

, and having removed

, in this Court on

No.

(Month)

(Day)

(Year)

from the jurisdiction of said Court on

, hereby apply for the
(Month)

(Day)

(Year)

transfer of my petition to the

Court

at,

, in accordance with the provisions of
(City and State)

section 335(f) of the Immigration and Nationality Act.

(Signature of Applicant)

Subscribed and sworn to before me by the above named applicant at
(City and State)

this

day of

, 20

.

[SEAL]

(Title)

Investigation having fully established that the applicant has removed from the jurisdiction of the Court as alleged in his or her
application, approval of the transfer of the petition for naturalization is hereby given.

, 20
(District Director or Officer in Charge, U.S. Citizenship and Immigration Services)

Form N-455 (Rev. 03/10/06)Y

Triplicate

Order of Transferor Court

Court of

In the

(Area)

(Court Level)

Upon consideration of the foregoing request and approval of the transfer by U.S. Citizenship and Immigration Services,
it is hereby Ordered and Decreed that the request be
No.

granted, and that the pending petition for naturalization,
Court

, filed in this Court shall, upon approval of the transfer by the

of

at

be transferred to said Court.
By the Court, this

, 20

day of

.

Judge

Order of Transferee Court
Court of

In the
at

.
Upon consideration of the foregoing request, the approval thereof by the Court where the petition for naturalization is pending and

by U.S. Citizenship and Immigration Services, it is hereby Ordered and Decreed that the transfer to this Court of the application for
naturalization, No.

, filed in the

at

Court of .
, is hereby

By the Court, this

day of

approved.
, 20

.

Judge

Form N-455 (Rev. 03/10/06)Y Page 2

OMB No. 1615-0055; Expires 11/30/06

N-455, Request for Transfer
of Application for Naturalization

Department of Homeland Security
U.S. Citizenship and Immigration Services

[Under Section 335(f) of the INA]

Quadruplicate
No:
TO THE HONORABLE,

, Court

the
(Court Level)

at

of
(Area)

(Location)

I,

, now residing at
(Name of Applicant)

(Street and Number)

, having filed a petition for naturalization,
(City)

(County)

(State)

, and having removed

, in this Court on

No.

(Month)

(Day)

(Year)

from the jurisdiction of said Court on

, hereby apply for the
(Month)

(Day)

(Year)

transfer of my petition to the

, Court
in accordance with the provisions of

at,
(City and State)

section 335(f) of the Immigration and Nationality Act.

(Signature of Applicant)

Subscribed and sworn to before me by the above named applicant at
(City and State)

this

day of

, 20

.

[SEAL]

(Title)

Investigation having fully established that the applicant has removed from the jurisdiction of the Court as alleged in his or her
application, approval of the transfer of the petition for naturalization is hereby given.

, 20

.
(District Director or Officer in Charge, U.S. Citizenship and Immigration Services)

Form N-455 (Rev. 03/10/06)Y

Quadruplicate

Order of Transferor Court
Court of

In the

(Area)

(Court Level)

.

at
(Location)

Upon consideration of the foregoing request and approval of the transfer by U.S. Citizenship and Immigration Services,
it is hereby Ordered and Decreed that the request be

granted, and that the pending petition for naturalization,
Court

, filed in this Court shall, upon approval of the transfer by the

No.
of

at

be transferred to said Court.

By the Court, this

day of

, 20

.

Judge

To the Applicant:
The authority for collection of the information requested on this form is contained in sections 332 and 335 of the Immigration and
Nationality Act (8 U.S.C. 1443 and 1446). Submission of the information is voluntary.
The principal purpose for requesting the information is to determine whether a petitioner for naturalization is eligible to transfer his or
her petition to another court. If the U.S. Citizenship and Immigration Services, District or Suboffice exercising administrative
jurisdiction over the place where the court in which the petition is filed approves the transfer, copies of the form will be forwarded to
the court wherein the petition is filed and also the court where the petition is to be transferred for their approval.
During the processing of the transfer application or in the course of the investigation, USCIS may as a matter of routine use disclose
the information sought to federal, state, local or foreign law enforcement and regulatory agencies, the Department of Defense,
including any component thereof, Selective Service System, Department of State, Department of Treasury, Department of
Transportation, Central Intelligence Agency, Interpol and individuals and organizations. USCIS may require this action to elicit
further information in order to carry out its functions. Information sought that indicates a violation or potential violation of law,
whether civil, criminal or regulatory in nature, may be referred as a routine use to the appropriate agency, whether federal, state, local
or foreign, charged with the responsibility of investigating, enforcing or prosecuting such violations. Failure to provide all or any of
the information may result in disapproval of the transfer application.
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, an agency may not conduct or sponsor an information
collection and a person is not required to respond to a collection of information unless it contains a currently valid OMB control
number. The reporting burden for this collection of information is estimated to average 10 minutes per response. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to
U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., Washington, D.C.
20529; OMB No. 1615-0055.
Form N-455 (Rev. 03/10/06)Y Page 2