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Get USCIS I-864EZ 2015

R Town of Birth 1. I am currently: Employed (Complete Item Numbers 2.a. - 2.c.) Retired (Complete Item Numbers 3.a. - 3.b.) 8. State or Province of Birth (if applicable) 9. Country of Birth 10. U.S. Social Security Number (Required) ► 2.c. Name of Employer 2 (if applicable) 11. USCIS ELIS Account Number (if any) ► 3.a. Name of Former Employer 2.a. Current Occupation 2.b. Name of Employer 1 (if applicable) Citizenship or Nationality 3.b. Date of Retirement (mm/dd/yyyy) 12.a. .

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