Questionnaire: N-400 (Naturalization)

Questionnaire: N-400

1. PERSONAL INFORMATION

Last Name(Required)

First Name(Required)

Middle Name (If Applicable)

List Other Names Used Since Birth (Maiden, Professional, Religious, Aliases)

To add more than 1, click the ( + ) icon

Would you like to legally change your name?

Yes

Sex(Required)

Male

Female

Height: Feet, Inches (Meters)(Required)

Weight: Pounds (Kilograms)(Required)

Hair Color(Required)

Eye Color(Required)

Date of Birth (TAG/MONAT/JAHR)(Required)

Country of Birth(Required)

Ethnicity(Required)

Hispanic or Latino

Not Hispanic or Latino

Race (Select all applicable boxes)(Required)

White

Asian

Black or African American

American Indian or American Native

Native Hawaiian or other Pacific Islander

Date you became a lawful permanent resident? (TAG/MONAT/JAHR)(Required)

Are you suffering from any disabilities?(Required)

Yes

Nationality (list ALL nationalities you are currently holding OR ever - to add more press the "+" icon)(Required)

U.S. Social Security Number (NICHT deutsche Sozialversicherungsnr.)(Required)

Information about your eligibility:

I have been a lawful permanent resident of the United States for at least five years.

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 US citizen for the last three years AND my spouse has been a US citizen for the last three years.

I am applying on the basis of qualifying military service.

Other

Home Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County of Home Address(Required)

Mobile Phone (Country)(Required)

Mobile Phone Number(Required)

Home Phone (Country)

Home Phone Number

Work Phone (Country)

Work Phone Number

Email Address(Required)

Enter Email Confirm Email

Is your MAILING address DIFFERENT than your HOME address?(Required)

Yes

Mailing Address (if different than Home Address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2. INFORMATION ABOUT YOUR RESIDENCE AND EMPLOYMENT

List every place of RESIDENCE over the LAST FIVE YEARS: (to add more press the "+" icon)(Required)

Street Address

City

State / Province / Region

ZIP / Postal Code

From Date (TAG/MONAT/JAHR)

To Date (TAG/MONAT/JAHR)

List every place of EMPLOYMENT or EDUCATION over the LAST FIVE YEARS: (to add more press the "+" icon)(Required)

Employer OR School Name

Street Address

City

State / Province / Region

ZIP / Postal Code

From Date (TAG/MONAT/JAHR)

To Date (TAG/MONAT/JAHR)

Occupation

3. TIME OUTSIDE THE UNITED STATES

Number of TOTAL DAYS you spent OUTSIDE THE UNITED STATES over the PAST FIVE YEARS:(Required)

Number of TRIPS OF 24 HOURS OR MORE that you have taken OUTSIDE THE UNITED STATES over the PAST FIVE YEARS:(Required)

List ALL TRIPS OF 24 HOURS OR MORE that you have taken OUTSIDE THE UNITED STATES over the PAST FIVE YEARS: (to add more press the "+" icon)

Date LEFT the US (TAG/MONAT/JAHR)

Date RETURNED to the US (TAG/MONAT/JAHR)

Did trip last six months or more?

Country to which you traveled

Total days out of the US

Begin with the most recent trip and work backwards

4. FAMILY INFORMATION

Are either of your parents U.S. citizens?(Required)

Yes

Were your parents married before your 18th birthday?(Required)

Yes

Marital Status:(Required)

Single (never married)

Married

Divorced

Widowed

Separated

Marriage Annulled

Have you ever been married before?(Required)

Yes

How many times have you been married?(Required)

including annulled marriages, marriages to other people, and marriages to the same person.

Has your current spouse ever been married before?(Required)

Yes

N/A (never married)

Spouse's Family Name (Last Name)(Required)

Current Spouse's Legal Name

Spouse's Given Name (First Name)(Required)

Current Spouse's Legal Name

Spouse's Middle Name

Current Spouse's Legal Name

Spouse's PREVIOUS Family Name (Last Name)

Current Spouse's PREVIOUS Name

Spouse's PREVIOUS Given Name (First Name)

Current Spouse's PREVIOUS Name

Spouse's PREVIOUS Middle Name

Current Spouse's PREVIOUS Name

Spouse's OTHER Family Name (Last Name)

Other Names Used by Current Spouse (include nicknames, aliases, and maiden name, if applicable)

Spouse's OTHER Given Name (First Name)

Other Names Used by Current Spouse (include nicknames, aliases, and maiden name, if applicable)

Spouse's OTHER Middle Name

Other Names Used by Current Spouse (include nicknames, aliases, and maiden name, if applicable)

Spouse's Date of Birth (TAG/MONAT/JAHR)

Date You Entered into Marriage with Current Spouse (TAG/MONAT/JAHR)

Spouse's Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Spouse's Current Employer or Company(Required)

Is your spouse a US citizen?

Yes

When did your spouse become a U.S. citizen?

At Birth

Other

Spouse's Nationality

Date your spouse became a US citizen (TAG/MONAT/JAHR)

Place where your spouse became a US citizen

City State

Spouse's US Social Security Number

Spouse's USCIS A-Number

Spouse's Immigration Status(Required)

Lawful Permanent Resident

Other (Explain)

Explaination(Required)

Is your spouse a current member of the U.S. armed forces?(Required)

Yes

Has your current spouse ever been previously married?(Required)

Yes

My Current Spouse's Date of Marriage WITH Prior Spouse (TAG/MONAT/JAHR)(Required)

Date My Current Spouse's Marriage Ended WITH Prior Spouse (TAG/MONAT/JAHR)(Required)

How My Current Spouse's Marriage Ended WITH Prior Spouse(Required)

Annulled

Divorced

Spouse Deceased

Other

Please Explain "Other" Selection(Required)

Do you have children?(Required)

Yes

Number of children you have

Children Information (to add more press the "+" icon)

Full Name of Son or Daughter

Date of Birth (TAG/MONAT/JAHR)

USCIS A-number (if applicable)

Country of Birth

Current Address

Have YOU been previously married?(Required)

Yes

Prior Spouse's Family Name (Last Name)(Required)

Prior Spouse's Given Name (First Name)(Required)

Prior Spouse's Middle Name(Required)

Prior Spouse's Immigration Status When Your Marriage Ended (if known)

U.S. Citizen

Lawful Permanent Resident

Other

Please Explain "Other"(Required)

Prior Spouse's Date of Birth(Required)

Prior Spouse's Country of Birth(Required)

Prior Spouse's Country of Citizenship or Nationality(Required)

Date of Marriage with YOUR Prior Spouse (TAG/MONAT/JAHR)(Required)

Date Marriage ENDED with YOUR Prior Spouse (TAG/MONAT/JAHR)(Required)

How Marriage Ended with YOUR Prior Spouse(Required)

Annulled

Divorced

Spouse Deceased

Other

Please Explain "Other"(Required)

5. ADDITIONAL QUESTIONS

Have you EVER claimed to be a US citizen (in writing or in any other way)?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER registered to vote in any Federal, State, or local election in the US?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER voted in any Federal, State, or local election in the US?(Required)

Yes

Explanation or Brief Description(Required)

Since becoming a lawful permanent resident, have you EVER failed to file required federal, state, or local tax returns?(Required)

Yes

Explanation or Brief Description(Required)

Do you owe any federal, state, or local taxes that are overdue?(Required)

Yes

Explanation or Brief Description(Required)

Do you have any title of nobility in any foreign country?(Required)

Yes

Explanation or Brief Description(Required)

Have you been declared legally incompetent or been confined to a mental institution within the last five years?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER been a member of or associated with any organization, association, fund, foundation, party, club, society, or similar group in the US or any other country? (If so, please list the name of each group)(Required)

Yes

Provide information about your membership or association with organization, association, fund, foundation, party, club, society, or similar group(Required)

Name of Group

Purpose of Group

Date From (mm/dd/yyyy)

Date To (mm/dd/yyyy)

*** If you need to add more than 1, click the " ( + ) " button

If you need to give further explanation regarding the above answer(s) to membership, please give a brief description below.(Required)

Have you EVER been a member of or in any other way associated (directly / indirectly) with: a communist party, any other totalitarian party, a terrorist organization(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER advocated (directly or indirectly) the overthrow of any government by force or violence?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER persecuted (directly / indirectly) any person because of race, religion, national origin, membership in a particular social group, or political opinion?(Required)

Yes

Explanation or Brief Description(Required)

Between March 23, 1933, and May 8, 1945, did you work for or associate in any way with: 1) The Nazi government of Germany?(Required)

Yes

Explanation or Brief Description(Required)

Between March 23, 1933, and May 8, 1945, did you work for or associate in any way with: 2) Any government in any area (A) occupied by, (B) allied with, or (C) established with the help of the Nazi government of Germany?(Required)

Yes

Explanation or Brief Description(Required)

Between March 23, 1933, and May 8, 1945, did you work for or associate in any way with: 3) 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?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER called yourself a "nonresident" on a federal, state, or local tax return?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER failed to file a federal, state, or local tax return because you considered yourself to be a "non-resident"?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER committed a crime or offense for which you were not arrested?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER been arrested, cited, or detained by any law enforcement officer (including USCIS or former INS or military officers) for any reason.(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER been charged with committing any crime or offense?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER been placed in an alternative sentencing or a rehabilitative program?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER been convicted of a crime or offense?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER received a suspended sentence, been placed on probation, or been paroled?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER been in jail or prison?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER: A) been a habitual drinker?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER: B) been a prostitute, or procured anyone for prostitution?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER: C) sold or smuggled controlled substances, illegal drugs, or narcotics?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER: D) been married to more than one person at the same time?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER: E) helped anyone enter or try to enter the US illegally?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER: F) gambled illegally or received income from illegal gambling?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER: G) failed to support your dependents or to pay alimony?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER given false or misleading information to any US government official while applying for any immigration benefit or to prevent deportation, exclusion, or removal?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER lied to any US Government official to gain entry or admission into the US?(Required)

Yes

Explanation or Brief Description(Required)

Are removal, exclusion, rescission or deportation proceedings pending against you?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER been removed, excluded or deported from the US?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER been ordered to be removed, excluded or deported from the US?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER applied for any kind of relief from removal, exclusion or deportation?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER left the United States to avoid being drafted into the US Armed Forces?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER served in the US Armed Forces?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER applied for any kind of exemption from military service in the US Armed Forces?(Required)

Yes

Explanation or Brief Description(Required)

Have you EVER deserted from the US Armed Forces?(Required)

Yes

Explanation or Brief Description(Required)

Are you a male who lived in the United States at any time between your 18th and 26th birthday in any status except as a lawful nonimmigrant?(Required)

Yes

Explanation or Brief Description(Required)

Do you support the Constitution and form of government of the US?(Required)

Yes

Explanation or Brief Description(Required)

Do you understand the full Oath of Allegiance to the US?(Required)

Yes

Explanation or Brief Description(Required)

Are you willing to take the full Oath of Allegiance to the US?(Required)

Yes

Explanation or Brief Description(Required)

If the law requires it, are you willing to bear arms on behalf of the US?(Required)

Yes

Explanation or Brief Description(Required)

If the law requires it , are you willing to perform noncombatant services in the US Armed Forces?(Required)

Yes

Explanation or Brief Description(Required)

If the law requires it, are you willing to perform work of a national importance under civilian direction?(Required)

Yes

Explanation or Brief Description(Required)

6. UPLOADING OF REQUESTED DOCUMENTS

Permanent Resident Card (FRONT and BACK)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Passport (ALL PAGES OF CURRENT or OLD PASSPORT)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Proof of Spouse's Nationality (e.g. copy of birth certificate or passport)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Marriage Certificate (IMPORTANT: Must include an English translation IF original is NOT already in English. Translation MUST INCLUDE a statement from the translator that he/she is competent to translate)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Other documents that prove your and your spouse's relationship(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

Marriage photos, joint bank account, joint tax forms, etc.

Birth Certificates of your JOINT CHILDREN

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.

7. REQUIRED ITEMS TO BE SENT TO US BY MAIL

You agree to 1) send by USPS/UPS/FedEx a check or money order, made out to "U.S. Department of Homeland Security" in the amount of $725.00 USD (filing fee of $640.00 and biometrics service fee of $85.00 USD); OR 2) Pay by Debit/Credit Card in the amount of $746.75 (filing fee of $640.00 and biometrics service fee of $85.00 and $21.75 convenience fee)(Required)

Check or Money Order ($725.00 USD mailed to BridgehouseLaw LLP, 112 S. Tryon St., Ste. 1100, Charlotte, NC 28284)

Debit/Credit Card ($746.75 USD - Payment link will be given upon submission of Questionnaire)

NOTE: A check or money order MUST be from a U.S. bank AND MUST be payable in U.S. Currency

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