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A. In Care Of Name if any SA 3. c. Apt. 123 Main St Ste. Flr. 3. d. City or Town Anytown 3. e. State CA 3. Freedom of Information/Privacy Act Request Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form G-639 OMB No. 1615-0102 Expires 04/30/2020 NOTE Use of this form is optional. USCIS accepts any written request regardless of format provided that the request complies with the applicable requirements under the FOIA and the Privacy Act. F. 3. g. Province N/A 3....

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