Questionnaire Text

Questionnaire form view entire document:  text  image
[E] - Answer questions about Person 1 on the next page if you listed at least one person on page 2. Otherwise, skip to page 28 for the mailing instructions.

7. Where was this person born?

[] In the United States - Print name of state.________
[] Outside the United States - Print name of foreign country, or Puerto Rico, Guam, etc.________
Questionnaire instructions view entire document:  text  image
Answer person questions 7 through 17 for all persons on pages 2, 3, and 4.

Questions 7-48 are a continuation of the questions for each person. (Questions 1-6 appear on pages 2, 3, and 4 of the questionnaire.)

7. For people born in the United States:
Mark the "In the United States" box and then print the name of the state in which the person was born. If the person was born in Washington, D.C., print "District of Columbia."

For people born outside the United States:
Mark the "Outside the United States" box, and then print the name of the foreign country or Puerto, Rico, Guam, etc. where the person was born. Use current boundaries, not boundaries at the time of the person's birth. For example, specify either Northern Ireland or the Republic of Ireland (Eire); North or South Korea; England, Scotland, or Wales (not Great Britain or United Kingdom). Specify the particular country or island in the Caribbean (for example, Jamaica, not West Indies).

8. If the person was born in the United States (50 states and the District of Columbia), mark the "Yes, born in the United States" box. If the person was born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas, mark the "Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas" box. If the person was born outside the United States (50 states and the District of Columbia) or at sea and had at least one parent who was a U.S. citizen at the time of the person's birth, mark the "Yes, born abroad of U.S. citizen parent or parents" box. Mark the "Yes, U.S. citizen by naturalization" box only if this person was born outside the United States (50 states and the District of Columbia) and has completed the naturalization process and is now a United States citizen. In the boxes below "Print year of naturalization," print the four-digit year this person completed the formal naturalization process. If this person is not a U.S. citizen, mark the "No, not a U.S. citizen" box. Legal Permanent Residents (LPRs) or "green card" holders, or other non-naturalized immigrants or visitors to the U.S. are not citizens of the United States and therefore should mark the "No, not a U.S. citizen" box.