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Get USCIS I-134 2012

, residing at (Name) (Street Number and Name) - , (State) (City) , (Zip Code if in U.S.) (Country) certify under penalty of perjury under U.S. law, that: 1. I was born on , in (Date [mm/dd/yyyy]) (City) , (State) (Country) If you are not a U.S. citizen based on your birth in the United States, or a non-citizen U.S. national based on your birth in American Samoa (including Swains Island), answer the following as appropriate: a. If a U.S.citizen through naturalization, give Certificat.

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