Application to File Declaration of Intention

Application to File Declaration of Intention

N300-INS-OMBReview-03152013

Application to File Declaration of Intention

OMB: 1615-0078

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OMB No. 1615-0078; Expires 01/31/2012

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

The Purpose of Form N-300
This form enables you, a permanent resident, to notify U.S.
Citizenship and Immigration Services (USCIS) that you intend
to become a citizen of the United States. USCIS does not
require that this form be filed to become eligible for
naturalization.

Instructions for Form N-300, Application
to File Declaration of Intention
If extra space is needed to answer any question, attach an
additional sheet(s) of paper. You must provide the
following information on the top of each sheet of paper:
A. Your A-Number;
B. The date;
C. Question number; and

Some states request that this form be submitted if the applicant
is doing business with the state. Check with the state where
you reside, or are doing business, to determine whether you
are required to file this form.

D. Your signature.
2. Answer all questions fully and accurately. Write “N/A”
if an item is not applicable. Write “None” if the answer is
none.

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Who Should File This Form
You should file this form if:

1. You are a permanent resident over 18 years of age; and
2. You are currently residing in the United States.

Required Evidence

Copy of Permanent Resident Card. Submit a copy of the
front and back of your Form I-551 (Permanent Resident Card).
USCIS must be able to read information on the photocopy.
Photographs. You must submit two identical color passportstyle photographs of yourself taken within 30 days of filing
Form N-300. The photos must have a white to off-white
background, be printed on thin paper with a glossy finish, and
be unmounted and unretouched. If a digital photo is submitted,
it must to be taken from a camera with at least 3.5 mega pixels
of resolution.

Passport-style photos must be 2" x 2". The photos must be in
color with full face, frontal view on a white to off-white
background. Head height should measure 1" to 1 3/8" from top
of hair to bottom of chin, and eye height is between 1 1/8" to 1
3/8" from bottom of photo. Your head must be bare unless you
are wearing a headdress as required by a religious
denomination of which you are a member; however, your face
must be visible. Using pencil or felt pen, lightly print your
name and Alien Registration Number (A-Number) on the back
of the photo.

3. Avoid highlighting, crossing out, or writing outside the
area provided for a response.
If you must make substantial corrections to your Form
N-300, USCIS recommends that you begin with a new
Form N-300 rather than using correction tape or fluid to
white out information. USCIS scanners may see through
the white correction tape or fluid. This may lead to
incorrect information being captured in USCIS systems
which may cause processing delays or a rejection of your
Form N-300.
Ensure that you are using the correct edition of the Form
N-300. The correct edition is available on the USCIS Web
site at www.uscis.gov.

4. Provide your A-Number on the top right corner of each
page. Your A-Number is located on your Permanent
Resident Card (formerly known as the Alien Registration
or “Green” Card). The A-Number on your card consists of
seven to nine numbers, depending on when your record
was created. If the A-Number on your card has fewer than
nine numbers, place enough zeros before the first number
to make a total of nine numbers on Form N-300. For
example, write number A1234567 as A001234567, or write
number A12345678 as A012345678. You must provide
your A-Number. USCIS may reject your application if
you do not write your A-Number.

General Instructions

Translations. You must provide a full English translation for
any document written in a foreign language you submit to
USCIS. The translator must certify that the translation is
complete and accurate and that he or she is competent to
translate from the foreign language into English.

1. Type or print clearly using black ink. Keep all
information within the area provided.

Copies. You may submit copies of documents unless USCIS
requests original documents. Original documents submitted
when not required may remain a part of the record.
Form N-300 Instructions 03/15/13 N

Specific Form Instructions
This form is divided into five parts.
Part 1. Information About You, the Naturalization
Applicant

NOTE: USCIS may not be able to contact you if you do not
provide a complete and valid address. In addition, if USCIS
does reject your application, USCIS may not be able to return
the fee paid in connection with your Form N-300 to you if you
do not provide a complete and valid address. If USCIS cannot
return the fee, USCIS will cash your check.

1. Current Legal Name. Your current legal name is the name
on your birth certificate unless it has been changed after
birth by a legal action such as a marriage or court order.
Do not provide a nickname.

9. Telephone Numbers. Provide your current telephone
numbers. If the answer is none, write “None.” If you are
hearing impaired and use a TTY telephone connection,
please indicate this by writing "TTY" after the telephone
number.

2. U.S. Social Security Number. Print your U.S. Social
Security Number. Write “N/A” if you do not have one.

10. E-Mail Address. Provide your current E-mail address. If
you do not have an e-mail address, write “None.”

3. Date of Birth. Always use eight numbers to show your
date of birth. Write the date in this order: Month, Day,
Year. For example, write May 1, 1958, as 05/01/1958.

Part 2. Your Signature

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4. Country of Birth. Provide the name of the country where
you were born. Write the name of the country even if the
country's name has since changed or the country no longer
exists.

5. Date You Became a Permanent Resident. Provide the
official date when your permanent residence began, as
shown on your Permanent Resident Card. Write the date in
this order: Month, Day, Year. For example, write August 9,
1988, as 08/09/1988. USCIS will reject your application
if you do not provide the information.
6. Country of Nationality. Provide the name of the
country(ies) where you are currently a citizen or national.
A. If the country no longer exists or you are stateless,
write the name of the country where you were last a
citizen or national.

Sign the Form N-300 as you normally sign your name. You
may place an “X” mark instead of a signature if you are
unable to write in any language.
NOTE: USCIS will reject your Form N-300 if it is not
signed.

Part 3. Signature of Person Who Prepared This Form
N-300 For You (if applicable)
If you prepared this application by yourself, leave this section
blank. If someone filled out this application for you, he or she
must complete this section.
Part 4. Declaration of Intent

You are required to complete and sign this part. Refer to
Part. 1 (Information About You) for instructions to assist you.
USCIS will return page 3 of your Form N-300 if it is approved.
USCIS will retain a copy of page 3 of your Form N-300.

B. If you are a citizen or national of more than one
country, write the name of the country that issued your
last passport.

7. Home Address. Provide the address where you now reside.
Do not write a Post Office (P.O.) Box number here unless
it is your ONLY address.
8. Mailing Address. Provide your mailing address even if it
is the same as your home address. Provide "in care of
name" information, if applicable. You must write
something in every box, except an apartment number or
“C/O” if you do not have one, within “Mailing Address.”

Form N-300 Instructions 03/15/13 N Page 2

Processing Information
Any Form N-300 that is not signed or accompanied by the
correct fee, except those accompanied by a fee waiver
request (Form I-912, Request for a Fee Waiver), will be
rejected. A Form N-300 that is not completed according to
these instructions, is missing pages or otherwise not
executed in its entirety, or is not accompanied by the
required initial evidence may be rejected or delayed. If
USCIS rejects your Form N-300 for any of the reasons
above, the form and any fees will be returned to you if you
provide a complete and valid mailing address. You will be
notified why the form is considered deficient. You may
correct the deficiency and refile a Form N-300. An
application or petition is not considered properly filed
until accepted by USCIS.

Notice to Those Making Payment by Check
USCIS will make a copy and convert your original check into
an electronic funds transfer (EFT). This means USCIS will use
the account information on your check to electronically debit
your account for the check amount. This debit usually takes 24
hours and should show up on your regular account statement.
USCIS will not return your original check. USCIS will destroy
it and keep a copy with your file. If the EFT cannot be
processed due to technical reasons, you authorize USCIS to
process the copy of the check. If the EFT cannot be completed
because of insufficient funds, USCIS may try the EFT up to
two times.
If you receive an insufficient funds notice, USCIS will send
you instructions on how to submit your penalty fee. Do not
send a check for the penalty fee to the address where you filed
your Form N-300. It will be returned to you.

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Requests for More Information or Interview

USCIS may request more information or evidence. USCIS
may also request that you submit originals of any copies that
you previously provided to USCIS for your Form N-300. In
addition, USCIS may request that you appear for an interview.
Decision

The decision on Form N-300 involves a determination of
whether you have established eligibility for the requested
benefit. If you do not establish a basis for eligibility, USCIS
will deny your Form N-300. You will be notified of the
decision in writing.

How To Check If the Fees Are Correct

The fee on Form N-300 is current as of the edition date
appearing in the lower right corner of this page. However,
because USCIS fees change periodically, you can verify if the
fees are correct by following one of the steps below:
1. Visit the USCIS Web site at www.uscis.gov, select
“FORMS,” and check the “filing fee” column for the form
you are filing;

2. Review the Fee Schedule included in your form package, if
you called us to request the form; or

What Is the Filing Fee

3. Telephone the USCIS National Customer Service Center at
1-800-375-5283 and ask for the fee information.

The fee for filing Form N-300 is $250.

Fee Waiver Request

Use the following guidelines when you prepare your check
or money order for your Form N-300 fee:

Individuals may request a fee waiver based on an inability to
pay. Form I-912 provides a standard means for submitting fee
waiver requests. The instructions provide applicants with
guidance on properly completing Form I-912 and submitting
supporting documentation. The instructions also provide
information on how USCIS makes a decision on a fee waiver
request. To download a copy of Form I-912, including the
instructions, click on the “FORMS” link on the USCIS Web
site at www.uscis.gov.

1. The check or money order must be drawn on a bank or
other financial institution located in the Unites States and
must be payable in U.S. currency; and
2. Make the check or money order payable to U.S.
Department of Homeland Security.

NOTE: Spell out U.S. Department of Homeland Security; do
not use the initials “USDHS” or “DHS."

Re-Filing Form N-300
If USCIS denied your previously filed Form N-300 and you
are filing a new Form N-300, you must pay the full amount.
Otherwise, USCIS will not accept your Form N-300.
USCIS cannot apply a previously submitted filing fee to a
newly filed Form N-300.
Form N-300 Instructions 03/15/13 N Page 3

Where To File

Address Changes

Mail your completed Form N-300, and accompanying
documentation, to the USCIS Dallas Lockbox facility at the
following address:

If you have changed your address, you must inform USCIS of
your new address. For information on filing a change of
address go to the USCIS Web site at www.uscis.gov/
addresschange or contact the National Customer Service
Center at 1-800-375-5283.

USCIS
P.O. Box 650809
Dallas, TX 75265
For Express Mail or courier deliveries, use the following
address:
USCIS
Attn: Form N-300
2501 S. State Hwy. 121 Business
Suite 400
Lewisville, TX 75067

NOTE: Do not submit a change of address request to the
USCIS Lockbox facilities because the USCIS Lockbox
facilities do not process change of address requests.

USCIS Forms and Information

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E-Notification

If you are filing your Form N-300 at one of the USCIS
Lockbox facilities, you may elect to receive an e-mail and/or
text message notifying you that your Form N-300 has been
accepted. You must complete Form G-1145, E-Notification of
Application/Petition Acceptance, and attach it to the first page
of your Form N-300. To download a copy of Form G-1145,
including the instructions, click on the “FORMS” link on the
USCIS Web site at www.uscis.gov.
Form Revision Date and Filing Addresses

The filing addresses provided on this form reflect the most
current information as of the date this form was last printed. If
you are filing Form N-300 more than 30 days after the latest
edition date shown in the lower right corner, visit the USCIS
Web site at www.uscis.gov before you file, and check the
“FORMS” page to confirm the correct filing address and
version currently in use. Check the edition date located at the
lower right corner of the form. If the edition date on your
Form N-300 matches the edition date listed for Form N-300
on the online “FORMS” page, your version is current. If the
edition date on the online version is more recent, download a
copy and use it. If you do not have Internet access, call the
USCIS National Customer Service Center at 1-800-375-5283
to verify the current filing address and edition date. USCIS
will reject forms with the wrong revision date and the
return the fee with instructions to resubmit the entire
filing using the current form.

You can get USCIS forms and immigration-related
information on the USCIS Web site at www.uscis.gov. You
may order USCIS forms by calling the USCIS toll-free
number at 1-800-870-3676. You may also obtain forms and
information by telephoning the USCIS National Customer
Service Center at 1-800-375-5283.
You can schedule an appointment to meet with a USCIS
representative at your local USCIS office through the USCIS
Internet-based system, InfoPass. To access the system, visit
the USCIS Web site. Use the InfoPass appointment scheduler
and follow the screen prompts to set up your appointment.
InfoPass generates an electronic appointment notice that
appears on the screen.

Attorney or Representative

You may be represented, at no expense to the U.S.
Government, by an attorney or other duly accredited
representative. Your representative must submit Form G-28,
Notice of Entry of Appearance as Attorney or Representative,
with your Form N-300. If USCIS requests you to appear for
an interview, your representative may also submit the Form
G-28 at that time. Form G-28 can be obtained by visiting the
USCIS Web site at www.uscis.gov, calling the USCIS forms
line number at 1-800-870-3676, or by contacting the USCIS
National Customer Service Center at 1-800-375-5283.

Penalties
If you knowingly and willfully falsify or conceal a material
fact or submit a false document with this Form N-300, USCIS
will deny your Form N-300 and may deny any other
immigration benefit. In addition, you may be subject to
criminal prosecution and penalties provided by law.
Form N-300 Instructions 03/15/13 N Page 4

USCIS Privacy Act Statement
AUTHORITIES: The information requested on this form,
and the associated evidence, is collected under the
Immigration and Nationality Act, section 101, et seq.
PURPOSE: The primary purpose for providing the requested
information on this form is to determine if you have
established eligibility for the immigration benefit for which
you are filing. The information you provide will be used to
grant or deny the benefit sought.
DISCLOSURE: The information you provide is voluntary.
However, failure to provide the requested information, and
any requested evidence, may delay a final decision or result in
denial of your form.

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ROUTINE USES: The information you provide on this form
may be shared with other Federal, State, local, and foreign
government agencies and authorized organizations following
approved routine uses described in the associated published
system of records notices [DHS-USCIS-007 - Benefits
Information System and DHS-USCIS-001 - Alien File (AFile) and Central Index System (CIS), which can be found at
www.dhs.gov/privacy]. The information may also be made
available, as appropriate, for law enforcement purposes or in
the interest of national security.

Paperwork Reduction Act

An agency may not conduct or sponsor information collection,
and a person is not required to respond to a collection of
information, unless Form N-300 displays a currently valid
OMB control number. The public reporting burden for this
collection of information is estimated at 45 minutes per
response. This includes the time to review the instructions, as
well as complete and submit your Form N-300. 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 Coordination Division, Office of the
Policy & Strategy, 20 Massachusetts Avenue, N.W.,
Washington, DC 20529-2020; OMB No. 1615-0078. Do not
mail your completed Form N-300 to this address.

Form N-300 Instructions 03/15/13 N Page 5


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