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Get USCIS I-134 2000

list, which I certify to be true and correct to the best of my knowledge and belief. I have life insurance in the sum of With a cash surrender value of I own real estate valued at With mortgage(s) or other encumbrance(s) thereon amounting to $ $ $ $ $ Which is located at (Street and Number) (City) (State) (Zip Code) 8. That the following persons are dependent upon me for support: (Place an "x" in the appropriate column to indicate whether the person named is wholly or partially dependent .

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