Immigration and Naturalization Civic Question

Have you EVER claimed to be a U.S Citizen (in writing or others ways)

• No

• Yes

Why not?

• Because I never say I am citizen

• I am a citizen of the U.S

• Because I am a resident

• Because I can, and will

Have you EVER registered to vote in any Federal, state, or local election in the United State?

• Yes

• No

Have you EVER voted in any federal, state, or local elections?

• No

  (Why not? Because I'm not a citizen)

• Yes

  (Because I am a citizen)

Do you now have, or did you EVER have a hereditary title or an nobility in any foreign country?

(EX: King, Queen, Prince, Princess)

• Yes

• No

Have you EVER been declared legally incompetent or been confined to a mental institution?

• Yes

• No

Can you explain what is a mental hospital?

Do you owe any overdue Federal, state, or local Taxes?

• No

• Yes

Have you EVER not filed a federal, state, or local tax return ever since you became a lawful permanent resident

• No

• Yes

Have you ever been a member of, involved in, or in any way associated with any organization, association, fund, foundation party, club, society, or similar group in the United States or in any other location in the world?

• Yes

• No