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APPLICATION TO DETERMINE EXPIRATION Date: …

APPLICATION TO DETERMINE EXPIRATION Date: …

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Marital Status Married Single (Never Married) Widowed Divorced If married, information about spouse a. Name (Last, First, MI) b. Address c. Place of Birth ... Date of Adjustment of Status with DHS (IF ANY) (mm-dd-yyyy) Place of Adjustment of Status with DHS (IF ANY) Place of Issue e. Initial Entry into the United as Lawful Permanent Resident f ...

  Applications, Determine, Adjustment, Martial, Application to determine

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