Naturalization Records Request Form - Hudson County Clerk
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1HUDSON COUNTY CLERK’S OFFICE
~
257 CORNELISON AVE. 4
FLOOR ~
JERSEY CITY, NJ 0730
TH
N
S
R
ATURALIZATION
EARCH
EQUEST
PLEASE PRINT CLEARLY
Today’s Date
: ________________________________________________________________________
Full Name of Applicant BEFORE Naturalization
:____________________________________________
Full Name upon Naturalization
: _________________________________________________________
Alias Name(s), if any
: _________________________________________________________________
Date of Birth
Place of Birth
: _____________________
: ______________________________________
Date of Arrival in the U.S
.: _________________________ Years to Search: ______________________
Date of Naturalization: (Approximate date is acceptable)
: __________________________________
Location of Naturalization (City, County, State):
___________________________________________
Naturalized Applicant’s Spouse
: ________________________________________________________
Naturalized Applicant’s Children
: _______________________________________________________
Address at time of Naturalization - Street
: ______________________________________________
City
State
: ___________________________________
: __________________________________
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
R
’
C
I
:
EQUESTOR
S
ONTACT
NFORMATION
Name
: _______________________________________________________________________________
Address
: _____________________________________________________________________________
City
State
Zip
: __________________________________
: _______________
: ____________________
Telephone
*(
): ______________________________________
PLEASE PROVIDE TO ENSURE TIMELY PROCESSING
E-mail
*(
): __________________________________________
PLEASE PROVIDE TO ENSURE TIMELY PROCESSING
R
’
R
N
A
N
A
EQUESTOR
S
ELATIONSHIP TO THE
ATURALIZED
PPLICANT
AMED
BOVE
*Only the naturalized citizen or family member (relative by birth) can obtain certified copies of
naturalization records or information. Such requestors must include a copy of their valid ID
(
&
) with this form. Photocopy must include signature & photo.
.
FRONT
BACK
Acceptable forms of ID include: Driver’s License, State ID, Gov’t Employee ID, Military ID.
C
O
F
:
HECK
NE OF THE
OLLOWING
*I am the naturalized citizen named above.
*I am a family member (relative by birth) of the naturalized applicant named above.
I am NOT the naturalized citizen named above NOR am I a family member (relative by
birth) of the naturalized applicant named above.
This type of request is only eligible to receive (non-certified) photocopies of records.
S
F
:
EARCH
EE
Please submit a $3.00 Search Fee with this form, payable by check or money order to
the: “Hudson County Clerk’s Office”
Pending the results of this search, additional fees may apply. Our searchers will contact
you accordingly, via the telephone number or email you provided above.
PHONE: (201) 369-3470 OPTION 4
~
EMAIL: COUNTYCLERK@HCNJ.US ~
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