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EFTA01263124
QAT the following information. O At Birth O Other l)alv 'our spouse became a U.S. citizen 3. Place your spouse became a U S. citizen (Pfeove..re blyirital(MA) I I City and State I-. II your spouse is NO1 a U.S. citizen. give the lollowing Information : I. Spouses Country of Citizenship 3. Spouses I
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