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Form AR-11
Department of Homeland Security OMB No. 1615-0007
U.S. Citizenship and Immigration Services Expires 08/31/2018
Your Signature
*Your Signature Date of Signature (mm/dd/yyyy)
Instructions
Complete all fields on this form, sign and date the form, and mail it to the address below.
Mail your completed Form AR-11 to:
U.S. Department of Homeland
Security
Citizenship and Immigration Services
Attn: Change of Address
1344 Pleasants Drive
Harrisonburg, VA 22801