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Ss Line 2: Foreign Country: Province/County: Country of Citizenship: Are you married? Are you a: Postal Code: Country that issued Passport: Yes No U.S. National Yes If YES , is your spouse in the U.S.? Resident of Canada No Yes Yes Resident of Mexico No Yes No Resident of South Korea No Yes Resident of India No Yes No Dependent Information First Name Last or Family Name Date of Birth (mm/dd/yyyy) ITIN or SSN Relationship to you (son, daughter, none, etc.) / What is.

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