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Es Penalties If you knowingly or willfully misrepresent or omit a material fact or submit a false document with this form, we may deny your immigration benefit. In addition, you may face severe penalties provided by law, including criminal prosecution. Privacy Act Notice We ask for the information on this form, and associated evidence, to determine if you are eligible for the immigration benefit you seek. Failure to provide requested information and/or evidence may delay a final decision or re.

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