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your father's birth name. 16.a. Family Name (Last Name) 16.b. Given Name (First Name) Mother's Name Provide your mothers birth name. 13.a. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you? 0 NOTE: If you answered "No" to Item Number 13.a., skip to Item Number 14. If you ans
ited (mm/dd/yyyy) ► 12. tes (Ci and State) Form 1-102 10/19/17 N Page I of 4 EFTA01731224 Part 1. Information About You (continued) IS 13. Curren ' tatus 14. Date Status Expires (mm/dd/yyyy) ► 15.a. Form I-94,1-94W, 15.b. Passport Number 15.c. Travel Document Number 15.d. C Passport or
your father's birth name. 16.a. Family Name (Last Name) 16.b. Given Name (First Name) Mother's Name Provide your mothers birth name. 13.a. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you? 0 NOTE: If you answered "No" to Item Number 13.a., skip to Item Number 14. If you ans
ited (mm/dd/yyyy) ► 12. tes (Ci and State) Form 1-102 10/19/17 N Page I of 4 EFTA01684009 Part 1. Information About You (continued) IS 13. Curren ' tatus 14. Date Status Expires (mm/dd/yyyy) ► 15.a. Form I-94,1-94W, 15.b. Passport Number 15.c. Travel Document Number 15.d. C Passport or
point.corn/a/getreports xp.asp?styleic1=1&filenTM&... 5/20/2008 EFTA01693886 Page 2 of 5 Warning Social Security number has never been Issued by the Social Security Administration. Definition Social Security number invalid because number has never been issued by the Social Security Administration. Possible Causes Operator I
ied Address(es): View All Address Variation Sources ONG ISLAND CITY NY 11101.3828, QUEENS COUNTY Yen 2005 -Jun 2006) Current Residents at Address: Curren tones listed this ad r s: Prope ones ip n orma on or isAddress Property: Parcel Number - Name Owner : DFV Property ArkkeSS: NG IS CITY NY 11
Entities connected to both the Social Security Administration and Curren

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