Part 12. Additional Information About You (Person Applying for Naturalization)
Answer “Yes” or “No” to each question by checking off the box () to the left of your answer. Example:
Yes No Your answer is "Yes." Yes No Your answer is "No."
For any questions you answer “Yes” to, make sure to include an explanation for your answer on another sheet of paper.
Did you ever say you were a U.S. citizen?
Did you ever sign up to vote in the United States?
Did you ever choose a new leader in a U.S. election?
Do you have a title, like a prince or princess?
B. If you answered “Yes,” are you willing to give up any inherited titles or orders of nobility that you have in a foreign country at your naturalization ceremony?
If you answered “Yes” to question 4.A. above, will you give up your title forever when you become a U.S. citizen? At your naturalization ceremony, you will need to say one of these phrases:
Were you ever legally insane? Were you ever forced to stay in a hospital because of a mental illness?
Do you owe late taxes?
You became a lawful permanent resident when you received your green card. After that, have you ever NOT filed a tax return? You may be asked to explain. You can say, for example: You may be asked to explain why you didn't file and how you supported yourself. You can say, for example:
B. If you answered “Yes,” did you consider yourself to be a “non-U.S. resident”?
If you answered “Yes” to question 7.A. above, you must explain. On another piece of paper, write the answers to these questions. During the year you were a non-resident:
On a tax form, have you ever said you did not live in the United States?
Are you a member of an organized group of people? Were you ever a member of any organized group of people? For example:
B. If you answered “Yes,” provide the information below. If you need extra space, attach the names of the other groups on additional sheets of paper and provide evidence to support your answers.
Name of the group Purpose of the group Dates of Membership From
(mm/dd/yyyy) To
(mm/dd/yyyy)
If you answered “Yes” to question 9.A. above, fill in this chart. If you are no longer a member of the group, when did you leave the group? Write the date under the “To” column, with the month first, day second and year last.
If you were a member of more than four groups, you will need to write the names of those groups on a blank sheet of paper and include proof you were in these groups.
- The Communist Party?
Are you a member of the Communist Party? Were you a member of the Communist Party before? Did you ever help or give money to the Communist Party? You may be asked: “What is communism?”
Example answers:
- Any other totalitarian party?
Are you a member of a totalitarian party? Were you a member of a totalitarian party before? Did you ever help or give money to a totalitarian party? You may be asked: “What is totalitarian?”
Example answer:
- A terrorist organization?
Are you a member of a terrorist organization? Were you a member of a terrorist organization before? Did you ever help or give money to a terrorist organization? You may be asked: “What is terrorism?”
Example answer:
Did you ever tell people to use force to change a government?
Did you ever discriminate against people because you didn’t like their race, religion, country of origin, social or political group? You may be asked: “What does it mean to persecute or discriminate?”
Example answer:
You may be asked: “What is race?”
Example answers:
You may be asked: “What is a social group?”
Example answers:
You may be asked: “What is a political group?”
Example answers:
You may be asked: “What is national origin?”
Example answer:
- The Nazi government of Germany?
Did you help or work for the Nazi government of Germany? You may be asked: “What is the Nazi government of Germany?”
Example answer:
- Any government in any area occupied by, allied with, or established with the help of the Nazi government of Germany?
Between March 23, 1933 and May 8, 1945, did you help or work for a government that worked with the Nazi government of Germany?
- Any German, Nazi, or S.S. military unit, paramilitary unit, self-defense unit, vigilante unit, citizen unit, police unit, government agency or office, extermination camp, concentration camp, prison, labor camp, or transit camp?
Did you help or work for a German, Nazi, or S.S. military unit, paramilitary unit, self-defense unit, vigilante unit, citizen unit, police unit, government agency or office, extermination camp, concentration camp, prison, labor camp, or transit camp?
- Genocide?
Did you ever try to kill all the people of the same group?
- Torture?
Did you ever make another person feel terrible pain?
- Killing, or trying to kill, someone?
Did you ever kill or try to kill someone? You may be asked: “What does it mean to kill?”
Example answer:
- Badly hurting, or trying to hurt, a person on purpose?
Did you ever hurt someone very much because you wanted to?
- Forcing, or trying to force, someone to have any kind of sexual contact or relations?
Did you ever force someone to have sex?
- Not letting someone practice his or her religion?
Did you ever stop someone from practicing their religion?
- Military unit?
Did you ever work for the military in any country? You may be asked: “What is a military?”
Example answer:
- Paramilitary unit (a group of people who act like a military group but are not part of the official military)?
Did you ever use weapons and act like the military but you were not in the military?
- Police unit?
Were you a police officer in any country? You may be asked: “What are the police?”
Example answer:
- Self-defense unit?
Did you and your neighbors ever come together to protect your community from crime or violence?
- Vigilante unit (a group of people who act like the police, but are not part of the official police)?
Did you ever act like the police but you were not the police?
- Rebel group?
Did you and other people ever illegally fight against the government?
- Guerrilla group (a group of people who use weapons against or otherwise physically attack the military, police, government, or other people)?
Did you and other people ever illegally fight against the government?
- Militia (an army of people, not part of the official military)?
Were you ever a member of a group of people who illegally fought with weapons?
- Insurgent organization (a group that uses weapons and fights against a government)?
Did you and other people ever illegally fight against the government?
- Prison or jail?
Were you ever a soldier, worker or helper in a prison or jail? You may be asked: “What is a jail?”
Example answer:
You may be asked: “What is a prison?”
Example answer:
- Prison camp?
Were you ever a soldier, worker or helper in a prison for enemy soldiers?
- Detention facility (a place where people are forced to stay)?
Were you ever a soldier, worker or helper in a place where people were not free to leave?
- Labor camp (a place where people are forced to work)?
Were you ever a soldier, worker or helper in a place where people were forced to work?
- Any other place where people are forced to stay?
Were you ever a soldier, worker or helper in any place where people were not free to leave?
Were you ever a member of a gang or group of people with weapons, and did these people use weapons to hurt other people or threaten other people? You may be asked: “What is a gang?”
Example answer:
You may be asked: “What does it mean to threaten?”
Example answer:
- If you answered “Yes,” when you were part of this group, or when you helped this group, did you ever use a weapon against another person?
If you answered “Yes” to question 17, did you hurt someone with a weapon at that time?
- If you answered “Yes,” when you were part of this group, or when you helped this group) did you ever tell another person that you would use a weapon against that person?
If you answered “Yes” to question 17, did you tell another person you would hurt them with a weapon?
Did you ever sell, give or help someone get weapons?
- If you answered “Yes,” did you know that this person was going to use the weapons against another person?
If you answered “Yes” to question 18, did you know this person would hurt someone with the weapons?
- If you answered “Yes,” did you know that this person was going to sell or give the weapons to someone who was going to use them against another person?
If you answered “Yes” to question 18, did you know this person would sell or give the weapons to another person who would hurt someone with the weapons?
Did people ever train you to be a soldier, to do the same thing as a soldier or to use weapons? You may be asked: “What does it mean to receive training?
Example answer:
You may be asked: “What is paramilitary?”
Example answer:
You may be asked: “What does it mean to act like the military?”
Example answer:
You may be asked: “What are weapons?”
Example answers:
You may be asked: “What does it mean to receive military training?”
Example answer:
You may be asked: “What does it mean to receive paramilitary training?”
Example answer:
You may be asked: “What does it mean to receive weapons training?”
Example answer:
Did you ever ask or force a child to join a group of people with weapons? You may be asked: “What does it mean to recruit a person under 15 years of age to serve in or help an armed force or group?”
Example answer:
You may be asked: “What does it mean to enlist a person under 15 years of age to serve in or help an armed force or group?”
Example answer:
You may be asked: “What does it mean to conscript a person under 15 years of age to serve in or help an armed force or group?”
Example answer:
You may be asked: “What is a group?”
Example answer:
You may be asked: “What is an armed group?”
Example answer:
You may be asked: “What is an armed force?”
Example answer:
You may be asked: “What does it mean to serve in an armed force or armed group?”
Example answer:
Did you ever use a child to help people who were fighting? You may be asked: “What is combat?”
Example answer:
Did you ever break the law, help someone break the law, or try to break the law but you were not arrested?
Did police ever take you to jail or make you pay a fine? Did immigration police ever take you to a place like a prison? Did military police or soldiers ever take you to a place like a prison?
Did you ever have to go to court for breaking the law, trying to break the law or helping someone break the law?
Did a jury ever say you were guilty of a crime?
Did a judge ever tell you to participate in a program to make you a better person?
Were you ever convicted of a crime and the court supervised you for many months or years?
B. If you answered “Yes,” have you completed the probation or parole?
If you answered “Yes” to question 27.A., did you finish the probation or parole?
Did you go to jail or prison?
B. If you answered “Yes,” how long were you in jail or prison?
Years Months Days
If you answered “Yes” to question 28.A., for how long did you go to jail or prison? Write down the number of years, months and days in the boxes.
If you answered “Yes” to any question in Item Numbers 23. - 28., then complete this table. If you need extra space, use additional sheets of paper and provide any evidence to support your answers.
Why were you arrested, cited, detained, or charged? | Date arrested, cited, detained, or charged. (mm/dd/yyyy) | Where were you arrested, cited, detained, or charged? (City or Town, State, Country) | Outcome or disposition of the arrest, citation, detention, or charge (no charges filed, charges dismissed, jail, probation, etc.) |
---|---|---|---|
If you answered “No” to questions 23. - 28., answer question 30. next. If you answered “Yes” to any question between questions 23. - 28., fill in this table.
- Been a habitual drunkard?
Did you ever drink too much alcohol every day?
- Been a prostitute, or procured anyone for prostitution?
Did you ever have sex for money, pay for sex or help someone get sex for money?
- Sold or smuggled controlled substances, illegal drugs, or narcotics?
Did you ever sell or transport drugs, for example cocaine or marijuana?
- Been married to more than one person at the same time?
Did you ever have more than one wife or more than one husband at the same time?
- Married someone in order to obtain an immigration benefit?
Did you ever marry someone to get a green card or citizenship?
- Helped anyone to enter, or try to enter, the United States illegally?
Did you ever break the law to help someone come across the border into the U.S.?
- Gambled illegally or received income from illegal gambling?
Did you ever play games for money outside a legal casino or racetrack?
- Failed to support your dependents or to pay alimony?
Did you ever refuse to support or give money to your children or your divorced spouse?
- Made any misrepresentation to obtain any public benefit in the United States?
Did you ever lie to the government to get food stamps or other help?
Did you ever tell a U.S. Government official something that was not true? You may be asked: “What is false?”
Example answer:
You may be asked: “What is fraudulent?”
Example answer:
You may be asked: “What is misleading?”
Example answer:
You may be asked: “What is a lie?”
Example answer:
You may be asked: “What is a U.S. government official?”
Example answer:
Did you ever lie to the U.S. Government to come into the U.S. or to get immigration benefits? For example, using a fake name, submitting fake documents or saying that you were persecuted in your country if you were not. You may be asked: “What does it mean to gain?”
Example answer:
You may be asked: “What does it mean to gain entry or admission to the United States?”
Example answer:
You may be asked: “What is gain immigration benefits?”
Example answer:
Were you ever forced to leave the United States or stopped from coming into the United States? You may be asked: “What does it mean to leave the United States?”
Example answer:
You may be asked: “What does it mean to be removed from the United States?”
Example answer:
You may be asked: “What does it mean to be deported from the United States?”
Example answer:
You may be asked: “What does it mean to be excluded from the United States?”
Example answer:
Did the Government ever tell you to leave the U.S., not come to the U.S. or go back to your country? You may be asked: “What does it mean to be ordered removed?”
Example answer:
You may be asked: “What does it mean to be ordered excluded?”
Example answer:
You may be asked: “What does it mean to be ordered deported?”
Example answer:
Did the U.S. Government ever begin the process to make you leave the U.S., stop you from coming to the U.S., cancel your legal immigration status or make you go back to your country? You may be asked: “What are removal proceedings?”
Example answer:
You may be asked: “What are exclusion proceedings?”
Example answer:
You may be asked: “What are rescission proceedings?”
Example answer:
You may be asked: “What are deportation proceedings?”
Example answer:
Is the U.S. Government now trying to make you leave the U.S., stop you from coming to the U.S., cancel your legal immigration status or send you back to your country?
Did you ever work for the U.S. military?
Do you work for the U.S. military now?
B. If you answered “Yes,” are you scheduled to deploy overseas, including to a vessel, within the next three months? (Refer to the Address Change section in the Instructions on how to notify USCIS if you learn of your deployment plans after you file your Form N-400.)
If you answered “Yes” to question 38.A., is the military sending you outside the U.S. before three months from now?
C. If you answered “Yes,” are you currently stationed overseas?
If you answered “Yes” to question 38.A., are you outside the country now?
Were you ever punished or fired from the U.S. military?
Were you ever fired from the U.S. military because you were from another country?
Did you ever go away from the United States because you didn’t want to work for the U.S. military?
Did you ever apply to be excused from working for the U.S. military?
Did you ever run away from your job in the U.S. military?
Are you a man? Did you live in the U.S. when you were from 18 to 26 years old?
B. If you answered “Yes,” when did you register for the Selective Service? Provide information below.
Date Registered
(mm/dd/yyyy) Selective Service
Number
If you answered “Yes” to question 44., when did you register for the Selective Service?
C. If you answered “Yes,” but you did not register with the Selective Service System and you are: A. Still under 26 years of age, you must register before you apply for naturalization, and complete the Selective Service information above; OR B. Now 26 to 31 years of age (29 years of age if you are filing under INA section 319(a)), but you did not register with the Selective Service, you must attach a statement explaining why you did not register, and provide a status information letter from the Selective Service.
If you answered “Yes” to question 44., but you did not register for the Selective Service and you are under 26 years old, you must register for the Selective Service. If you answered “Yes” to question 44. and are 26 - 31 years old, write why you did not register on another sheet of paper and attach a letter from the Selective Service about your status.
Do you accept the Constitution and Government of the United States?
Do you understand the promises you will make in the Oath of Allegiance? You may be asked: “What is an oath?”
Example answer:
You may be asked: “What is an oath of allegiance?”
Example answer:
Will you say the Oath of Allegiance? Will you promise to be loyal to the United States?
If the Government needs your help, will you use weapons to fight in the U.S. military? You may be asked: “What does it mean to bear arms?”
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You may be asked: “What does it mean to be required by law?”
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If the Government needs your help, will you help the U.S. military? You may be asked: “What is noncombatant work?”
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You may be asked: “What does it mean to perform noncombatant work?”
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If the government needs your help, will you do important work for the United States? You may be asked: “What does it mean to be under civilian direction?”
Example answer: