Form - Table of Changes

TABLE OF CHANGES – FORM

Form N-400, Application for Naturalization

OMB RIN 1615-0052

POST 30 Day Comment Period

07/02/2013

Reason for Revision: Form has been revised to have a 2D barcode at the bottom of each page, to facilitate and expedite data capture and entry into USCIS systems, to make the form more customer friendly, and to reduce data entry errors. In addition, some of the questions have been revised to be easier to understand.

LOCATION	CURRENT VERSION	PROPOSED VERSION
Throughout Form	Old Format (Currently on the Web).	Format: Some field names have been slightly modified to provide greater clarity for customers, but have retained the original meaning. For example, on page 1 of the revision, Part 2, Information About You, this item reads: “Your current legal name (do not provide a nickname)”, whereas the current version reads: Part 1, Your Name (Person applying for naturalization), A. “Your current legal name.” A 2D barcode has been added to the bottom of each page to facilitate/expedite accurate data capture and transmission. Some of the Intel-related questions have been re-ordered.
Page 1	Print clearly or type your answers using CAPITAL letters. Failure to print clearly may delay your application. Use black ink.	Type or print all your answers in black ink. Type or print “N/A” if an item is not applicable or the answer is “none” unless otherwise indicated. Failure to answer all of the questions may delay USCIS processing your Form N-400. NOTE: You must complete Parts 1. - 14.
Page 1	Write your USCIS A-Number here: A	Enter Your 9 Digit A-Number: A _ _ _-_ _ _-_ _ _
Page 1, Part 2 Information About Your Eligibility	Part 2. Information About Your Eligibility (Check only one) I am at least 18 years old AND A. I have been a lawful permanent resident of the United States for at least five years. B. I have been a lawful permanent resident of the United States for at least three years, and I have been married to and living with the same U.S. citizen for the last three years, and my spouse has been a U.S. citizen for the last three years. C. I am applying on the basis of qualifying military service. D. Other (Explain)	Part 1. Information About Your Eligibility (Check only one box or your Form N-400 may be delayed) You are at least 18 years old and 1. Have been a Permanent Resident of the United States for at least 5 years. 2. Have been a Permanent Resident of the United States for at least 3 years. In addition, you have been married to and living with the same U.S. citizen spouse for the last 3 years, and your spouse has been a U.S. citizen for the last 3 years at the time of filing your Form N-400. 3. Are a Permanent Resident of the United States, and you are the spouse of a U.S. citizen, and your U.S. citizen spouse is regularly engaged in specified employment abroad. (Section 319(b) of the Immigration and Nationality Act) 4. Are applying on the basis of qualifying military service. 5. Other (explain):
Page 1, Part 1. Your Name (Person applying for naturalization) Page 2, Part 3. Information About You	A. Your current legal name. Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable) B. Your name exactly as it appears on your Permanent Resident Card. Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable) C. If you have ever used other names, provide them below. Family Name (Last Name) Given Name (First Name) Full Middle Name D. Name change (optional) Read the Instructions before you decide whether to change your name. 1. Would you like to legally change your name? Yes No 2. If “Yes”, print the new name you would like to use. Do not use initials or abbreviations when writing your new name. Family Name (Last Name) Given Name (First Name) Full Middle Name Part 3. Information About You A. U.S. Social Security Number B. Date of Birth (mm/dd/yyyy) C. Date You Became a Permanent Resident (mm/dd/yyyy) D. Country of Birth E. Country of Nationality F. Are either of your parents U.S. citizens? (If yes, see instructions) Yes No G. What is your current marital status? Single, Never Married Married Divorced Widowed Marriage Annulled or Other (Explain)__________ H. Are you requesting a waiver of the English and/or U.S. History and Government requirements based on a disability or impairment and attaching Form N-648 with your application? Yes No I. Are you requesting an accommodation to the naturalization process because of a disability or impairment? (See instructions for some examples of accommodations.) If you answered “Yes,” check the box below that applies: Yes No I am deaf or hearing impaired and need a sign language interpreter who uses the following language: I use a wheelchair. I am blind or sight impaired. I will need another type of accommodation. Explain:	Page 1, Part 2. Information About You (Person applying for naturalization) 1. Your Current Legal Name (do not provide a nickname) Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) 2. Your Name Exactly As It Appears on Your Permanent Resident Card (if applicable) Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) 3. Other Name(s) You Have Used Since Birth (include nicknames, aliases and maiden name if applicable) Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) 4. Name Change (optional) Read the Form N-400 Instructions before you decide whether or not you would like to legally change your name. Would you like to legally change your name? If “Yes,” print the new name you would like to use in the space below. Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) 5. U.S. Social Security Number (if applicable) 6. Date of Birth (mm/dd/yyyy) 7. Date You Became a Permanent Resident (mm/dd/yyyy) 8. Country of Birth 9. Country of Citizenship or Nationality 10. Are you requesting an accommodation(s) to the naturalization process because of a disability and/or an impairment? (See Form N-400 Instructions for accommodation examples) If “Yes,” check the box(es) below that applies: Deaf or hard of hearing and need an interpreter who uses the following sign language (e.g., American Sign Language): Use a wheelchair or other device that assists with mobility. Blind or low vision. Require another type of accommodation. Explain: 11. Do you have a physical or developmental disability or mental impairment that prevents you from demonstrating your knowledge and understanding of the English language and/or civics requirements for naturalization? If “Yes,” submit a completed Form N-648, Medical Certification for Disability Exceptions, when you file your Form N-400. 12. Exemptions From the English Language Test A. Are you 50 years of age or older and have you lived in the United States as a Permanent Resident for periods totaling at least 20 years at the time of filing your Form N-400? B. Are you 55 years of age or older and have you lived in the United States as a Permanent Resident for periods totaling at least 15 years at the time of filing your Form N-400? C. Are you 65 years of age or older and have you lived in the United States as a Permanent Resident for periods totaling at least 20 years at the time of filing your Form N-400? (If you meet this requirement, you will also be given a simplified version of the civics test.)
Page 2, Part 4, Addresses and Telephone Numbers	Part 4. Addresses and Telephone Numbers A. Home Address Street Number and Name (Do not write a P.O. Box in this space.) Apartment Number City County State ZIP Code Country B. Care of Mailing Address – Street Number and Name (If different from home address) Apartment Number City State ZIP Code Country C. Daytime Phone Number (If any) Evening Phone Number (If any) E-Mail Address (If any)	Page 3, Part 3. Information to Contact You 1. Daytime Phone Number 2. Work Phone Number (if any) 3. Evening Phone Number 4. Mobile Phone Number (if any) 5. E-mail Address (if any) Page 3-4 Part 4. Information About Your Residence 1. Where have you lived during the last 5 years? Begin with where you live now and then list every location where you have lived during the last 5 years. If you need more space, use an additional sheet(s) of paper. Date of Residence From (mm/dd/yyyy) To Present Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) A. Mailing Address (if different from the address above) C/O (“In Care Of” name, if applicable) Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) 2. Date of Residence From (mm/dd/yyyy) To (mm/dd/yyyy) Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) 3. Date of Residence From (mm/dd/yyyy) To Present Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) 4. Date of Residence From (mm/dd/yyyy) To (mm/dd/yyyy) Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only)
New		Page 5, Part 5. Information About Your Parents If your biological or legally adoptive mother or father is a U.S. citizen by birth, or naturalized before you reached your 18th birthday, you may already be a U.S. citizen. Visit the USCIS Web site at www.uscis.gov for further information on this topic before you consider filing Form N-400. 1. Were your parents married before your 18th birthday? 2. Is your mother a U.S. citizen? If “Yes,” complete the following information. A. Current Legal Name of U.S. Citizen Mother Mother’s Family Name (Last Name) Mother’s Given Name (First Name) Mother’s Middle Name (if applicable) B. Mother’s Country of Birth C. Mother’s Date of Birth (mm/dd/yyyy) 3. Is your father a U.S. citizen? If “Yes,” complete the following information. A. Current Legal Name of U.S. Citizen Father Father’s Family Name (Last Name) Father’s Given Name (First Name) Father’s Middle Name (if applicable) B. Father’s Country of Birth C. Father’s Date of Birth (mm/dd/yyyy)
Page 3, Part 5. Information for Criminal Records Search	NOTE: The categories below are those required by the FBI. See instructions for more information. A. Gender Male Female B. Height Feet Inches C. Weight Pounds D. Are you Hispanic or Latino? Yes No E. Race (Select one or more) White Asian Black or African American American Indian or Alaskan Native Native Hawaiian or Other Pacific Islander F. Hair color Black Brown Blonde Gray White Red Sandy Bald (No Hair) G. Eye color Brown Blue Green Hazel Gray Black Pink Maroon Other	Page 5, Part 6. Information for Criminal Records Check NOTE: USCIS requires you to complete the categories below to conduct background checks. (See Form N-400 Instructions for more information) 1. Gender Male Female 2. Height Feet Inches 3. Ethnicity: (Select one)Hispanic or Latino Not Hispanic or Latino 4. Race (Select one or more): -—American Indian or Alaska Native —Asian —Black or African American —Native Hawaiian or Other Pacific Islander —White 5. Hair color… 6. Eye color…
Page 3, Part 6 Information About Your Residence and Employment	A. Where have you lived during the last five years? Begin with where you live now and then list every place you lived for the last five years. If you need more space, use a separate sheet of paper. Street Number and Name, Apartment Number, City, State, Zip Code, and Country Dates (mm/dd/yyyy) From To Present Current Home Address – Same as Part 4.A B. Where have you worked (or if you were a student, what schools did you attend) during the last five years? Include military service. Begin with your current or latest employer and then list every place you have worked or studied for the last five years. If you need more space, use a separate sheet of paper. Employer or School Name Employer or School Address (Street, City, and State) Dates (mm/dd/yyyy) From To Your Occupation	Page 6-7 Part 7. Information About Your Employment and Schools You Attended List where you have worked or attended school full time or part time during the last 5 years. Provide information for the complete time period. Include all military, police and/or intelligence service. Begin by providing information about your most recent or current employment, studies, or unemployment (if applicable). Provide the locations and dates where you worked, were self-employed, were unemployed, or have studied for the last 5 years. If you worked for yourself, write “self-employed.” If you were unemployed, write “unemployed.” If you need more space, use an additional sheet(s) of paper to complete Part 7. 1. Employer or School Name Street Number and Name Apt. Ste. Flr. Number City State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) Date From (mm/dd/yyyy) Date To (mm/dd/yyyy) Your Occupation 2. Employer or School Name Street Number and Name Apt. Ste. Flr. Number City State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) Date From (mm/dd/yyyy) Date To (mm/dd/yyyy) Your Occupation 3. Employer or School Name Street Number and Name Apt. Ste. Flr. Number City State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) Date From (mm/dd/yyyy) Date To (mm/dd/yyyy) Your Occupation
Page 4, Part 7. Time Outside the United States (including Trips to Canada, Mexico and the Caribbean Islands)	A. How many total days did you spend outside of the United States during the past five years? _____days B. How many trips of 24 hours or more have you taken outside of the United States during the past five years? _____trips C. List below all the trips of 24 hours or more that you have taken outside of the United States since becoming a lawful permanent resident. Begin with your most recent trip. If you need more space, use a separate sheet of paper. Date You Left the United States (mm/dd/yyyy) Date You Returned to the United States (mm/dd/yyyy) Did Trip Last Six Months or More? Yes No Countries to Which You Traveled Total Days Out of the United States	Page 7, Part 8. Time Outside the United States 1. How many total days (24 hours or longer) did you spend outside the United States during the last 5 years? 2. How many trips of 24 hours or longer have you taken outside the United States during the last 5 years? 3. List below all the trips of 24 hours or longer that you have taken outside the United States during the last 5 years. If you need more space, use an additional sheet(s) of paper. Date You Left the United States (mm/dd/yyyy) Date You Returned to the United States (mm/dd/yyyy) Did Trip Last 6 Months or More? Countries to Which You Traveled Total Days Outside the United States
Page 4, Part 8. Information About Your Marital History	A. How many times have you been married (including annulled marriages)? If you have never been married, go to Part 9. B. If you are now married, give the following information about your spouse: 1. Spouse’s Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable) 2. Date of Birth (mm/dd/yyyy) 3. Spouse’s U.S. Social Security # 4. Spouse’s U.S. Social Security # 5. Home Address – Street Number and Name Apartment Number City State Zip Code C. Is your spouse a U.S. citizen? Yes No D. If your spouse is a U.S. citizen, give the following information: 1. When did your spouse become a U.S. citizen? At Birth Other If “Other”, give the following information: 2. Date your spouse became a U.S. citizen 3. Place your spouse became a U.S. citizen (See instructions) E. If you spouse is not U.S. citizen, give the following information: 1. Spouse’s Country of Citizenship 2. Spouse’s USCIS A-Number (If applicable) 3. Spouse’s Immigration Status Lawful Permanent Resident Other Spouse’s Country of Citizenship F. If you were married before, provide the following information about your prior spouse. If you have more than one previous marriage, use a separate sheet of paper to provide the information requested in Questions 1-5 below. 1. Prior Spouse’s Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable) 2. Prior Spouse’s Immigration Status U.S. Citizen Lawful Permanent Resident Other 3. Date of Marriage (mm/dd/yyyy) 4. Date Marriage Ended (mm/dd/yyyy) 5. How Marriage Ended Divorce Spouse Died Other G. How many times has your current spouse been married (including annulled marriages)? If your current spouse has ever been married before, give the following information about your spouse’s prior marriage. If your spouse has more than one previous marriage, use a separate sheet(s) of paper to provide the information requested in Questions 1-5 below. 1. Prior Spouse’s Family Name (Last Name) Given Name (First Name) Full Middle Name (If applicable) 2. Prior Spouse’s Immigration Status U.S. Citizen Lawful Permanent Resident Other 3. Date of Marriage (mm/dd/yyyy) 4. Date Marriage Ended (mm/dd/yyyy) 5. How Marriage Ended Divorce Spouse Died Other	Page 8-10, Part 9. Information About Your Marital History 1. What is your current marital status? Single, never married Married Separated Divorced Widowed Marriage annulled 2. If you are married, is your spouse a current member of the U.S. Armed Forces? 3. How many times have you been married (including annulled marriages and marriage(s) to the same person)? If you are single and have never been married, indicate “0” and go to Part 10. 4. If you are married now, provide the following information about your current spouse. A. Legal Name of Current Spouse Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) B. Previous Legal Name of Current Spouse Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) C. Other Names Used by Current Spouse (include nicknames, aliases, and maiden name, if applicable) Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) D. Current Spouse’s Date of Birth (mm/dd/yyyy) E. Date You Entered into Marriage with Current Spouse (mm/dd/yyyy) F. Current Spouse’s Present Home Address Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address Country (foreign address only) Postal Code (foreign address only) G. Current Spouse’s Present Employer 5. Is your current spouse a U.S. citizen? If “Yes,” answer Item Number 6. If “No,” go to Item Number 7. 6. If your current spouse is a U.S. citizen, complete the following information. A. When did your current spouse become a U.S. citizen? At birth - Go to Item Number 8 Other - Complete the following information. B. Date your current spouse became a U.S. citizen (mm/dd/yyyy) 7. If your current spouse is not a U.S. citizen, complete the following information. A. Current Spouse’s Country of Citizenship or Nationality B. Current Spouse’s A-Number (if applicable) C. Current Spouse’s Immigration Status Permanent Resident Other (explain): 8. How many times has your current spouse been married (including annulled marriages and marriage(s) to the same person)? If your current spouse has had more than one previous marriage, use an additional sheet(s) of paper to provide the information requested in Items A. - H. below for each marriage. 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 (mm/dd/yyyy) D. Prior Spouse’s Country of Birth E. Prior Spouse’s Country of Citizenship or Nationality F. Date of Marriage with Prior Spouse (mm/dd/yyyy) G. Date Marriage Ended with Prior Spouse (mm/dd/yyyy) H. How Marriage Ended with Prior Spouse Annulled Divorced Spouse Deceased Other (explain): 9. If you were married before, provide the following information about your prior spouse. If you have more than one previous marriage, use an additional sheet(s) of paper to provide the information requested in Items A - H below for each marriage. A. Your Prior Spouse’s Family Name (Last Name) Given Name (First Name) Middle Name (if 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 (mm/dd/yyyy) D. Your Prior Spouse’s Country of Birth E. Your Prior Spouse’s Country of Citizenship or Nationality F. Date of Marriage with Your Prior Spouse (mm/dd/yyyy) G. Date Marriage Ended with Your Prior Spouse (mm/dd/yyyy) H. How Marriage Ended with Your Prior Spouse Annulled Divorced Spouse Deceased Other.(explain):
Page 6, Part 9. Information About Your Children	A. How many sons and daughters have you had? For more information on which sons and daughters you should include and how to complete this section, see the Instructions. B. Provide the following information about all of your sons and daughters. If you need more space, use a separate sheet of paper. Full Name of Son or Daughter Date of Birth (mm/dd/yyyy) USCIS A-number (if child has one) Country of Birth Current Address (Street, City, State, and Country)	Page 10 - 12 Part 10. Information About Your Children 1. Indicate your total number of children. (All children should be indicated, including: A. Children who are alive, missing, deceased; B. Children born in the United States or in other countries; C. Children under 18 years of age or older; D. Children who are currently married or unmarried; E. Children living with you or elsewhere; F. Current stepchildren; G. Legally adopted children; and H. Children born when you were not married) 2. Provide the following information about all your children (sons and daughters) listed in Item 1, regardless of age. Use an additional sheet(s) of paper to list any additional children. A.1. Child’s Current Legal Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) A.2. Child’s A-Number (if applicable) A.3. Child’s Date of Birth (mm/dd/yyyy) A.4. Child’s Country of Birth A.5. Child’s Current Address Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) A.6. What is your child’s relationship to you? (e.g., biological child, stepchild, legally adopted child) B.1. Child’s Current Legal Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) B.2. Child’s A-Number (if applicable) B.3. Child’s Date of Birth (mm/dd/yyyy) B.4. Child’s Country of Birth B.5. Child’s Current Address Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) B.6. What is your child’s relationship to you? (e.g., biological child, stepchild, legally adopted child) C.1. Child’s Current Legal Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) C.2. Child’s A-Number (if applicable) C.3. Child’s Date of Birth (mm/dd/yyyy) C.4. Child’s Country of Birth C.5. Child’s Current Address Street Number and Name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) C.6. What is your child’s relationship to you? (e.g., biological child, stepchild, legally adopted child) D.1. Child’s Current Legal Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) D.2. Child’s A-Number (if applicable) D.3. Child’s Date of Birth (mm/dd/yyyy) D.4. Child’s Country of Birth D.5. Child’s Current Address Street number and name Apt.__ Ste.__ Flr.__ Number_____ City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) D.6. What is your child’s relationship to you? (e.g., biological child, stepchild, legally adopted child)
Pages 6-9, Part 10. Additional Questions	Answer Questions 1 through 14. If you answer “Yes” to any of these questions, include a written explanation with this form. Your written explanation should (1) explain why your answer was “Yes” and (2) provide any additional information that helps to explain your answer. A. General Questions. 1. Have you ever claimed to be a U.S. citizen (in writing or any other way)? 2. Have you ever registered to vote in any Federal, State, or local election in the United States? 3. Have you ever voted in any Federal, State, or local election in the United States? 4. Since becoming a lawful permanent resident, have you ever failed to file a required Federal, State, or local tax return? 5. Do you owe any Federal, State, or local taxes that are overdue? 6. Do you have any title of nobility in any foreign country? 7. Have you ever been declared legally incompetent or been confined to a mental institution within the last five years? B. Affiliations. 8. a. Have you ever been a member of or associated with any organization, association, fund foundation, party, club, society, or similar group in the United States or in any other place? b. If you answered “Yes,” list the name of each group below. If you need more space, attach the names of the other group(s) on a separate sheet of paper. Table for entering Name of Groups 9. Have you ever been a member of or in any way associated (either directly or indirectly) with: a. The Communist Party? b. Any other totalitarian party? c. A terrorist organization? 10. Have you ever advocated (either directly or indirectly) the overthrow of any government by force or violence? 11. Have you ever persecuted (either directly or indirectly) any person because of race, religion, national origin, membership in a particular social group, or political opinion? 12. Between March 23, 1933, and May 8, 1945, did you work for or associate in any way (either directly or indirectly) with: a. The Nazi government of Germany? b. Any government in any area (1) occupied by, (2) allied with, or (3) established with the help of the Nazi government of Germany? c. Any German, Nazi, or S.S. military unit, paramilitary unit, self-defense unit, vigilante unit, citizen unit, police unit, government agency or office, extermination camp, concentration camp, prisoner of war camp, prison, labor camp, or transit camp? C. Continuous Residence. Since becoming a lawful permanent resident of the United States: 13. Have you ever called yourself a “nonresident” on a Federal, State, or local tax return? 14. Have you ever failed to file a Federal, State, or local tax return because you considered yourself to be a “nonresident”? D. Good Moral Character. For the purposes of this application, you must answer “Yes” to the following questions, if applicable, even if your records have been sealed or otherwise cleared or if anyone, including a judge, law enforcement officer, or attorney, told you that you no longer have a record. 15. Have you ever committed a crime or offense for which you were not arrested? 16. Have you ever been arrested, cited, or detained by any law enforcement officer (including USCIS or former INS and military officers) for any reason? 17. Have you ever been charged with committing any crime offense? 18. Have you ever been convicted of a crime or offense? 19. Have you ever been placed in an alternative sentencing or a rehabilitative program (for example: diversion, deferred prosecution, withheld adjudication, deferred adjudication)? 20. Have you ever received a suspended sentence, been placed on probation, or been paroled? 21. Have you ever been in jail or prison? If you answered “Yes” to any of Questions 15 through 21, complete the following table. If you need space, use a separate sheet of paper to give the same information. (Table in which to provide responses to the following questions:) Why were you arrested cited, detained, or charged? Date arrested, cited, detained, or charged? (mm/dd/yyyy) Where were you arrested, cited, detained, or charged? (City, State, Country) Outcome or disposition of the arrest, citation, detention, or charge (No charges filed, charges dismissed, jail, probation, etc.) Answer Questions 22 through 33. If you answer "Yes" to any of these questions, attach (1) your written explanation why your answer was ''Yes'' and (2) any additional information or documentation that helps explain your answer. 22. Have you ever: a. Been a habitual drunkard? b. Been a prostitute, or procured anyone for prostitution? c. Sold or smuggled controlled substances, illegal drugs, or narcotics? d. Been married to more than one person at the same time? e. Helped anyone enter or try to enter the United States illegally? f. Gambled illegally or received income from illegal gambling? g. Failed to support your dependents or to pay alimony? 23. Have you ever given false or misleading information to any U.S. government official while applying for any immigration benefit or to prevent, deportation, exclusion or removal? 24. Have you ever lied to any U.S. Government official to gain entry or admissions into the United States? E. Removal, Exclusion, and Deportation Proceedings. 25. Are removal, exclusion, rescission, or deportation proceedings pending against you? 26. Have you ever been removed, excluded, or deported from the United States? 27. Have you ever been ordered to be removed, excluded, or deported from the United States? 28. Have you ever applied for any kind of relief from removal, exclusion, or deportation? F. Military Service. 29. Have you ever service in the U.S. Armed Forces? 30. Have you ever left the United States to avoid being drafted in the U.S. Armed Forces? 31. Have you ever applied for any kind of exemption from military service in the U.S. Armed Forces? 32. Have you ever deserted from the U.S. Armed Forces? G. Selective Service Registration. 33. Are you a male who lived in the United States at any time between your 18th and 26th birthdays in any status except as a lawful nonimmigrant? If you answered “NO,” to on to question 34. If you answered “YES,” provide the information below. If you answered “YES,” but you did not register with the Selective Service System and are still under 26 years of age, you must register before you apply for naturalization, so that you can complete the information below. Date Registered (mm/dd/yyyy) Selective Service Number If you answered “YES,” but you did not register with the Selective Service and you are now 26 years or older, attach a statement explaining why you did not register. H. Oath Requirements. (See Part 14 for the text of the oath) Answer Questions 34 through 39. If you answer ''No'' to any of these questions, attach (1) your written explanation why the answer was ''No'' and (2) any additional information or documentation that helps to explain your answer. 34. Do you support the Constitution and form of government of the United States? 35. Do you understand the full Oath of Allegiance to the United States? 36. Are you willing to take the full Oath of Allegiance to the United States? 37. If the law requires it, are you willing to bear arms on behalf of the United States? 38. If the law requires it, are you willing to perform noncombatant services in the U.S. Armed Forces? 39. If the law requires it, are you willing to perform work on national importance under civilian direction?	Page 13 - 18 Part 11. Additional Information Answer Item Numbers 1 - 21. If you answer “Yes” to any of these questions, include a written explanation on an additional sheet(s) of paper and provide any evidence to support your answer. 1. Have you ever claimed to be a U.S. citizen (in writing or any other way)? 2. Have you ever registered to vote in any Federal, State, or local election in the United States? 3. Have you ever voted in any Federal, State, or local election in the United States? 4. Do you now have, or did you ever have, a hereditary title or an order of nobility in any foreign country? 5. Have you ever been declared legally incompetent or been confined to a mental institution? 6. Do you owe any overdue Federal, State, or local taxes? 7.A. Have you ever not filed a Federal, State, or local tax return since you became a Permanent Resident? 7.B. If “Yes,” did you consider yourself to be a “non-U.S. resident”? 8. Have you called yourself a “non-U.S. resident” on a Federal, State, or local tax return since you became a Permanent Resident? 9. A. Have you ever been a member of, involved in, or in any way associated with, any organization, association, fund, foundation, party, club, society, or similar group in the United States or in any other location in the world? B. If “Yes,” provide the information below. If you need more space, attach the names of the other group(s) on an additional sheet(s) of paper and provide any evidence to support your answer. (Table for entering Group Names) Name of Group Purpose of the Group Dates of Membership From To 10. Have you ever been a member of, or in any way associated (either directly or indirectly) with: A. The Communist Party? B. Any other totalitarian party? C. A terrorist organization? 11. Have you ever advocated (either directly or indirectly) the overthrow of any government by force or violence? 12. Have you ever persecuted (either directly or indirectly) any person because of race, religion, national origin, membership in a particular social group, or political opinion? 13. Between March 23, 1933 and May 8, 1945, did you work for or associate in any way (either directly or indirectly) with: A. The Nazi government of Germany? B. Any government in any area (1) occupied by, (2) allied with, or (3) established with the help of the Nazi government of Germany? C. Any German, Nazi, or S.S. military unit, paramilitary unit, self-defense unit, vigilante unit, citizen unit, police unit, government agency or office, extermination camp, concentration camp, prisoner of war camp, prison, labor camp, or transit camp? 14. Were you ever involved in any way with any of the following: A. Genocide? B. Torture? C. Killing, or trying to kill, someone? D. Badly hurting, or trying to hurt, a person on purpose? E. Forcing, or trying to force, someone to have any kind of sexual contact or relations? F. Not letting someone practice his or her religion? 15. Were you ever a member of, or did you ever serve in, help, or otherwise participate in, any of the following groups: A. Military unit? B. Paramilitary unit? (a group of people who act like a military group but are not part of the official military) C. Police unit? D. Self-defense unit? E. Vigilante unit? (a group of people who act like the police, but are not the police) F. Rebel group? G. Guerrilla group? (a group of people who use weapons against or otherwise physically attack the military, police, government, or other people) H. Militia? (an army of people, not the official military) I. Insurgent organization? (a group that uses weapons and fights against a government) 16. Were you ever a worker, volunteer, or soldier, or did you otherwise ever serve in any of the following: A. Prison or Jail? B. Prison camp? C. Detention facility? (a place where people are forced to stay) D. Labor camp? E. Any other place where people were forced to stay? 17. Were you ever a part of any group, or did you ever help any group, unit, or organization that used a weapon against any person, or threatened to do so? A. If “Yes,” when you were part of this group, or when you helped this group, did you ever use a weapon against another person? B. If “Yes,” when you were part of this group, or when you helped this group, did you ever tell another person that you would use a weapon against that person? 18. Did you ever sell, give, or provide weapons to any person, or help another person sell, give, or provide weapons to any person? A. If “Yes,” did you know that this person was going to use the weapons against another person? B. If “Yes,” did you know that this person was going to sell or give the weapons to someone who was going to use them against another person? 19. Did you ever receive any type of military, paramilitary (a group of people who act like a military group but are not part of the official military), or weapons training? 20. Did you ever recruit (ask), enlist (sign up), conscript (require), or use any person under age 15 to serve in or help an armed force or group? 21. Did you ever use any person under age 15 to do anything that helped or supported people in combat? If any of Item Numbers 22-28 apply to you, you must answer “Yes” even if your records have been sealed, expunged, or otherwise cleared. You must disclose this information even if anyone, including a judge, law enforcement officer, or attorney, told you that it no longer constitutes a record or told you that you do not have to disclose the information. 22. Have you ever committed, assisted in committing, or attempted to commit, a crime or offense for which you were not arrested? 23. Have you ever been arrested, cited, or detained by any law enforcement officer (including any and all immigration officials or the U.S. Armed Forces) for any reason? 24. Have you ever been charged with committing, attempting to commit, or assisting in committing a crime or offense? 25. Have you ever been convicted of a crime or offense? 26. Have you ever been placed in an alternative sentencing or a rehabilitative program (e.g., diversion, deferred prosecution, withheld adjudication, deferred adjudication)? 27.A. Have you ever received a suspended sentence, been placed on probation, or been paroled? B. If “Yes,” have you completed the probation or parole? 28.A. Have you ever been in jail or prison? B. If “Yes,” how long were you in jail or prison? Years Months Days 29. If you answered “Yes” to any of the Item Numbers 23-28, complete the following table. If you need space, use an additional sheet(s) of paper and provide any evidence to support your answer. If you answered “No” to all Item Numbers 23-28, go to Item Number 30. Why were you arrested, cited, detained, or charged? Date arrested cited, detained, or charged (mm/dd/yyyy) Where were you arrested, cited, detained, or charged (City, State, Country) Outcome or disposition of the arrest, citation, detention, or charge (no charges filed, charges dismissed, jail, probation, etc.) Answer Item Numbers 30-46. If you answer “Yes” to any of these questions, except Item Numbers 37 and 38, include a written explanation on an additional sheet(s) of paper and provide any evidence to support your answer. 30. Have you ever: A. Been a habitual drunkard? B. Been a prostitute or procured anyone for prostitution? C. Sold or smuggled controlled substances, illegal drugs, or narcotics? D. Been married to more than one person at the same time? E. Married someone in order to obtain an immigration benefit? F. Helped anyone to enter, or try to enter, the United States illegally? G. Gambled illegally or received income from illegal gambling? H. Failed to support your dependents or to pay alimony? I. Made any misrepresentation to obtain any public benefit in the United States? 31. Have you ever given any U.S. Government official(s) any information or documentation that was false, fraudulent, or misleading? 32. Have you ever lied to any U.S. Government official to gain entry or admission into the United States or to gain immigration benefits while in the United States? 33. Have you ever been removed, excluded, or deported from the United States? 34. Have you ever been ordered removed, excluded, or deported from the United States? 35. Have you ever been placed in removal, exclusion, rescission or deportation proceedings? 36. Are removal, exclusion, rescission, or deportation proceedings (including administratively closed proceedings) currently pending against you? 37. Have you ever served in the U.S. Armed Forces? 38. Are you currently a member of the U.S. Armed Forces? 39. If you are currently a member of the U.S. Armed Forces, are you scheduled to deploy overseas, including on a vessel, within the next 3 months? (Refer to the Address Change section within the Form N-400 Instructions on how to notify USCIS if you learn of your deployment plans after you file your Form N-400.) 40. If you are currently a member of the U.S. Armed Forces, are you currently stationed overseas? 41. Have you ever been court-martialed, administratively separated, or disciplined, or have you received an other than honorable discharge, while in the U.S. Armed Forces? 42. Have you ever been discharged from training or service in the U.S. Armed Forces because you were an alien? 43. Have you ever left the United States to avoid being drafted in the U.S. Armed Forces? 44. Have you ever applied for any kind of exemption from military service in the U.S. Armed Forces? 45. Have you ever deserted from the U.S. Armed Forces? 46. A. Are you a male who lived in the United States at any time between your 18th and 26th birthdays? (This does not include living in the United States as a lawful nonimmigrant.) B. If “Yes,” when did you register for the Selective Service? Provide the information below. Date Registered (mm/dd/yyyy) Selective Service Number C. If “Yes,” but you did not register with the Selective Service System and you are: 1. Still under 26 years of age, you must register before you apply for naturalization, and complete the Selective Service information above; OR 2. Now 26 years of age or older but you did not register with the Selective Service, you must attach a statement explaining why you did not register, and a status information letter from the Selective Service. Answer Item Numbers 47-53. If you answer ''No'' to any of these questions, include a written explanation on an additional sheet(s) of paper and provide any evidence to support your answer. 47. Do you support the Constitution and form of government of the United States? 48. Do you understand the full Oath of Allegiance to the United States? 49. Are you willing to take the full Oath of Allegiance to the United States? 50. If the law requires it, are you willing to bear arms on behalf of the United States? 51. If the law requires it, are you willing to perform noncombatant services in the U.S. Armed Forces? 52. If the law requires it, are you willing to perform work of national importance under civilian direction? NOTE: Answer the next question ONLY if you answered “Yes” to Part 11, Item Number 4 of Form N-400. 53. At your naturalization ceremony, are you willing to give up any inherited title(s) or order(s) of nobility that you have in a foreign country?
Page 10, Part 11. Your Signature	I certify, under penalty of perjury under the laws of the United States of America, that this application, and the evidence submitted with it, are all true and correct. I authorize the release of any information the USCIS needs to determine my eligibility for naturalization. Your Signature Date (mm/dd/yyy)	Page 18, Part 12. Your Signature (USCIS will reject your Form N-400 if it is not signed) Your Statement I certify, under penalty of perjury under the laws of the United States of America, that this application, and the evidence submitted with it, are all true and correct. I authorize the release of any information USCIS needs to determine my eligibility for naturalization. Your Signature Date (mm/dd/yyyy)
New		Page 18-19, Part 13. Signature and Contact Information of Person Who Prepared This Form, If Other Than the Applicant .  By my signature, I certify, swear or affirm, under penalty of perjury, that I prepared this form on behalf of, at the request of, and with the express consent of the applicant.  I completed the form based only on responses the applicant provided to me.  After completing the form, I reviewed it and all of the applicant’s responses with the applicant, who agreed with every answer he or she provided for each question on the form and, when required, supplied additional information to respond to a question on the form. Preparer’s Printed Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) Preparer’s Signature Date (mm/dd/yyyy) Preparer’s Firm or Organization Name (if applicable) Preparer’s Daytime Phone Number Preparer’s Address Street Number and Name Apt. Ste. Flr. Number City County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only) Preparer’s -Email Address Preparer’s Fax number
Page 10, Part 12. Signature of Person Who Prepared This Application for You (If applicable)	I declare under the penalty of perjury that I prepared this application at the request of the above person. The answers provided are based on information of which I have personal knowledge and/or were provided to me by the above named person in response to the exact questions contained on this form. Preparer’s Printed Name Preparer’s Signature Date (mm/dd/yyyy) Preparer’s Firm or Organization Name (If applicable) Preparer’s Daytime Phone Number Preparer’s Address – Street Number and Name City State Zip Code NOTE: Do not complete Parts 13 and 14 until a USCIS Officer instructs you to do so.	Page 19, Part 14. Statement of Applicants Who Used an Interpreter NOTE: If you answered “Yes” to Part 2, Item Numbers 11 or 12 of this form and, during the completion of the form used an interpreter to interpret the questions on the form, then you and your interpreter must complete this section. Applicant’s Statement Each and every question and instruction on this form, as well as my answer to each question, has been read to me by the interpreter named below in ________________, a language in which I am fluent. I understand each and every question and instruction on this form, as translated to me by my interpreter, and have provided true and correct responses in the language indicated above. Your Signature Date (mm/dd/yyyy) Your Interpreter’s Statement I certify that I am fluent in English and ________ (language used). I further certify that I have read each and every question and instruction on this form, as well as the answer to each question, to this applicant in the above-mentioned language, and the applicant has informed me that he or she has understood each and every instruction and question on the form, as well as the answer to each question. Interpreter’s Printed Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) Interpreter's Signature Date (mm/dd/yyyy) Telephone Number NOTE: Do not complete Parts 15. 16., and 17. until the USCIS Officer instructs you to do so at the interview.
Page 10, Part 13. Signature at Interview	I swear (affirm) and certify under penalty of perjury under the laws of the United States of America that I know that the contents of this application for naturalization promised by me, including corrections number 1 through______ and the evidence submitted by me numbered pages 1 through ____, are true and correct to the best of my knowledge and belief. Subscribed and sworn to (affirmed) before me Officer’s Printed Name or Stamp Date (mm/dd/yyyy) Complete Signature of Applicant Officer’s Signature	Page 20, Part 15. Signature at Interview I swear (affirm) and certify under penalty of perjury under the laws of the United States of America that I know that the contents of this Form N-400, Application for Naturalization, subscribed by me, including corrections number 1 through______, are true and correct. The evidence submitted by me on numbered pages 1 through ____________ is true and correct. Subscribed to and sworn to (affirmed) before me USCIS Officer’s Printed Name or Stamp Date (mm/dd/yyyy) Applicant’s Signature USCIS Officer’s Signature
New		Page 20, Part 16. Renunciation of Foreign Titles If you answered “Yes” to Part 11., Item Numbers 4. and 53., then you must affirm the following before a USCIS officer: I further renounce the title of _______________(list title(s)) which I have heretofore held; or I further renounce the order of nobility of ____________ (list order of nobility) to which I have heretofore belonged. Applicant’s Printed Name Applicant’s Signature USCIS Officer’s Printed Name USCIS Officer’s Signature
Page 10, Part 14. Oath of Allegiance	If your application is approved, you will be scheduled for a public oath ceremony at which time you will be required to take the following Oath of Allegiance immediately prior to becoming a naturalized citizen. By signing you acknowledge your willingness and ability to take this oath: I hereby declare on oath, that I absolutely and entirely renounce and abjure all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, or whom or which I have heretofore been a subject or citizen; that I will support and defend the Constitution and laws of the United States of America against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I will bear arms on behalf of the United States when required by the law; that I will perform noncombatant service in the Armed Forces of the United States when required by the law; that I will perform work of national importance under civilian direction when required by the law; and that I will that this obligation freely, without any mental reservation or purpose of evasion, so help me God. Printed Name of Applicant Complete Signature of Applicant	Page 20, Part 17. Oath of Allegiance If your application is approved, you will be scheduled for a public oath ceremony at which time you will be required to take the following Oath of Allegiance immediately prior to becoming a naturalized citizen. By signing below you acknowledge your willingness and ability to take this oath: I hereby declare on oath, that I absolutely and entirely renounce and abjure all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, of whom or which I have heretofore been a subject or citizen; that I will support and defend the Constitution and laws of the United States of America against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I will bear arms on behalf of the United States when required by the law; that I will perform noncombatant service in the Armed Forces of the United States when required by the law; that I will perform work of national importance under civilian direction when required by the law; and that I will that this obligation freely, without any mental reservation or purpose of evasion, so help me God. Applicant’s Printed Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) Applicant’s Signature

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