Fillable N-300fillable N- 300 V7.xft (ILW.COM)

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N-300fillable N- 300 V7.xft (ILW.COM)

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The N-300fillable N- 300 V7.xft (ILW.COM) form is 3 pages long and contains:

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File type: PDF

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Returned
Receipt
Resubmitted
Given Name
Family Name
Reloc Sent
Reloc Rec'd
U.S. Social Security # (If any)
Applicant
Interviewed
Action Block
ATTY State License #
START HERE - Please type or print in black ink.
Part 1. Information about you. (NOTE: Applicant must complete
all three pages of this form.)
Street Number and Name
City
State or Province
Zip/Postal Code
Country
Apt. #
Date of Birth (mm/dd/yyyy)
Country of Citizenship
A# (If any)
Part 2. Processing Information.
Date you became a permanent resident (mm/dd/yyyy)
Since you were admitted to the United States as a permanent resident, have you been absent for a
period of six months or longer?
Read the information on penalties in the instructions before
completing this section. You must be in the United States when you
file this application. You must sign your name below and also sign
your name in the appropriate places (Signature of Applicant on Pages
2 and 3) of this form.
I desire to declare my intention to become a citizen of the United States. I certify, under penalty
of perjury under the laws of the United States of America, that this application and the evidence
submitted with it is all true and correct. I authorize release of any information from my records
that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am
seeking.
Signature
Date
Part 4. Signature of person preparing form, if other than above.
(Sign below.)
I declare that I prepared this application at the request of the above person, and it is based on all
information of which I have any knowledge.
Signature
Date
Print Your Name
Firm Name
Firm Address
Attach a list of departure/arrival dates of all
absences.
Part 3. Signature.
To Be Completed by
Attorney or Representative, if any
Fill in box if G-28 is attached to
represent the applicant.
For USCIS Use Only
Country of Birth
Middle Name
N-300, Application to File
Declaration of Intention
OMB No. 1615-0078; Expires 07/31/09
Department of Homeland Security
U.S. Citizenship and Immigration Services
No
Yes
Telephone Number
( )
E-Mail Address (If any)
Form N-300 (Rev. 07/08/08)Y
Telephone Number
E-Mail Address (If any)
( )
Original to be retained by USCIS - Duplicate to be given to:
Affix
Photograph
Here
I am over the age of 18 years, have been lawfully admitted to the United States as a
permanent resident, and am now residing in the United States pursuant to such
admission.
I hereby declare my intention in good faith to become a citizen of the United States and
I certify that the photographs affixed to the original and duplicate hereof are a likeness
of me and were signed by me.
I do swear (or affirm) that the statements I have made and the intentions I have
expressed in this declaration of intention subscribed by me are true to the best of my
knowledge and belief.
Not valid unless DHS Seal
applied below.
Signature of Applicant
Signature of Authorizing Official
Original Copy/Retained by USCIS
Form N-300 (Rev. 07/08/08)Y Page 2
Date
Date
Given Name
Family Name
U.S. Social Security # (If any)
Street Number and Name
City
State or Province
Zip/Postal Code
Country
Apt. #
Date of Birth (mm/dd/yyyy)
Country of Citizenship
A# (If any)
Country of Birth
Middle Name
Telephone Number
E-Mail Address (If any)
( )
Original to be retained by USCIS - Duplicate to be given to:
Affix
Photograph
Here
I am over the age of 18 years, have been lawfully admitted to the United States as a
permanent resident, and am now residing in the United States pursuant to such
admission.
I hereby declare my intention in good faith to become a citizen of the United States and
I certify that the photographs affixed to the original and duplicate hereof are a likeness
of me and were signed by me.
I do swear (or affirm) that the statements I have made and the intentions I have
expressed in this declaration of intention subscribed by me are true to the best of my
knowledge and belief.
Not valid unless DHS Seal
applied below.
Signature of Applicant
Signature of Authorizing Official
Duplicate Copy/Given to Applicant
Form N-300 (Rev. 07/08/08)Y Page 3
Date
Date
Given Name
Family Name
U.S. Social Security # (If any)
Street Number and Name
City
State or Province
Zip/Postal Code
Country
Apt. #
Date of Birth (mm/dd/yyyy)
Country of Citizenship
A# (If any)
Country of Birth
Middle Name
Telephone Number
E-Mail Address (If any)
( )
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Completed 9 January 2021

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