Part 1. Information about you. (Person filing this application)
Department of Homeland Security
U.S. Citizenship and Immigration Services
N-470, Application to Preserve
Residence for Naturalization Purposes
Part 2. Reason for request.
START HERE - Please type or print in black ink.
Attorney or Representative, if any.
To Be Completed by
Fill in box if G-28 is attached
to represent the applicant.
ATTY State License #
For USCIS Use Only
Mailing Address - Street Number and Name
Country of Birth
My absence from the United States is: (Check one box.)
On behalf of the U.S. Government.
C/O (in care of):
Home Address - Street Number and Name
Daytime Phone # (Area/Country Code)
Country of Citizenship
A # (if any)
U.S. Social Security # (if any)
Date of Birth (mm/dd/yyyy)
For the purpose of carrying on scientific research on behalf of an American
institution of research.
For the purpose of engaging in the development of foreign trade and commerce
of the United States on behalf of an American firm or corporation or a
Necessary for the protection of property rights outside the United States of an
American firm or corporation engaged in the development of foreign trade and
commerce of the United States.
On behalf of a public international organization of which the United States is a
Solely because of my capacity as a clergyman or clergywoman, missionary,
brother, nun or sister of a denomination or mission having a bona fide
organization in the United States.
OMB No. 1615-0056; Expires 10/31/09
Form N-470 (Rev. 07/30/07) Y
Are other family members who are lawful permanent residents intending to reside outside the United States
Since lawfully entry as a permanent resident, have you resided in and been physically present