Applicant Name: John Doe A-Number: A-123456789

Signature: Date: 05/01/2014

Attachment with additional information for N-400, Application for Naturalization

Page 2, Part 2, Question 3: Other Names

I have used additional names that could not fit on the form.

Family Name (Last Name) Given Name (First Name) Middle Name
Doe Juan Pierre

Page 3, Part 5: Previous Addresses

I lived in additional addresses that could not fit on the form.

Dates
Street Number and Name, Apartment Number, City, State/Province, Zip Code and Country
From To
123 Main St., Anytown, CA, 90000, USA 02/2012 05/2013
1000 Elm St., Anytown, CA, 90000, USA 10/2011 02/2012

Page 9, Part 10: Previous Marriages

I have previous marriages that could not fit on the form.

Prior Spouses Family Name (Last Name) Given Name (First Name) Full Middle Name
Jackson Jennifer Michelle

Date of Birth (mm/dd/yyyy) Country of Birth

01/01/1980 Philippines

Country of Citizenship/Nationality Immigration Status (when our marriage ended)

Philippines Permanent Resident

Date of Marriage (mm/dd/yyyy) Date Marriage Ended (mm/dd/yyyy) How Marriage Ended
07/01/2000 07/01/2001 Divorce

1
Applicant Name: John Doe A-Number: A-123456789
Signature: Date: 05/01/2014

Page 9, Part 11, Question 2: Sons and Daughters

I have additional sons and daughters that could not fit on the form.

Childs Legal Family Name (Last Name) Given Name (First Name) Full Middle Name
Doe Jane Michelle

Date of Birth (mm/dd/yyyy) Country of Birth

01/01/2005 United States

A-Number Childs Relationship to Me

A-123456788 Daughter

Current Address (Street Number and Name, Apartment Number, City, State/Province, Zip Code and Country)
Ave. Nueva No. 123, Col Centro, Ensenada, Baja California, CP 12345 Mexico

Page 14, Part 12, Question 29: Interactions with Law Enforcement
I have additional contacts with law enforcement that could on fit on the form.

Date arrested, Outcome or disposition of the arrest,

Where were you arrested,
Why were you arrested, cited, cited, detained, citation, detention, or charge.
cited, detained, or charged?
detained, or charged? or charged? (No charges filed, charges
(City, State, Country)
(mm/dd/yyyy) dismissed, jail, probation, etc.)
Arrested for suspicion of
03/15/2001 San Diego, CA All charges dismissed
narcotics