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EFTA00525459
l sheets of paper. A. Legal Name of My Current Spouse's Prior Spouse Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) B. Immigration Status of My Current Spouse's Pnor Spouse (if known) K U.S. Citizen K Lawful Permanent Resident K Other (Explain): C. Date of Birth of My Current Spouse's D. Country of Birth
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