Table of Changes (form)

TABLE OF CHANGES – FORM

Form I-407, Record of Abandonment of Lawful Permanent Resident Status

OMB Number: 1615-0130

03/23/2017

Reason for Revision: Extension

Current Page Number and Section	Current Text	Proposed Text
Page 1, Part 1. Information About the Alien	[Page 1] Alien Registration Number (A-Number) USCIS ELIS Account Number (if any)… Certification I knowingly, willingly, and affirmatively declare that I have no intention of residing permanently in the United States, and that by signing and submitting this form, I intend to record the fact that I have knowingly and willingly abandoned my lawful permanent resident status in the United States. I have been informed of, and I understand my rights to a hearing before an immigration judge about whether I have abandoned my lawful permanent resident status in the United States. By signing and submitting this form, I knowingly, willingly, and affirmatively waive my rights to such a hearing. 13.a. Signature of Alien 13.b. Date of Signature (mm/dd/yyyy)	[Page 1] Part 1. Information About the Alien 1. Alien Registration Number (A-Number) 2. USCIS Online Account Number (if any) … Certification I knowingly, willingly, and affirmatively declare that I have no intention of residing permanently in the United States, and that by signing and submitting this form, I intend to record the fact that I have knowingly and willingly abandoned my lawful permanent resident status in the United States. I have been informed of, and I understand my rights to a hearing before an immigration judge about whether I have abandoned my lawful permanent resident status in the United States. By signing and submitting this form, I knowingly, willingly, and affirmatively waive my rights to such a hearing. 13.a. Signature of Alien 13.b. Date of Signature (mm/dd/yyyy) NOTE: Signing this form is voluntary.  U.S. law does not require you to complete, sign, or submit this form.  You may request a hearing before an immigration judge if you disagree with a DHS allegation that you have abandoned your lawful permanent residence.

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