Affidavit of Physical Presence or Residence, Parentage and Support
This affidavit must be executed by a U.S. citizen or a national parent. Meeting the requirements for the statutory physical presence or residence allows for the following: (1) transmitting U.S. citizenship to a child living abroad or a child living in the U.S. with a non-U.S. citizen status; (2) determining a child’s parentage; (3) requiring a U.S. citizen father to provide the agreed financial support to his illegitimate child(ren) born abroad.
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U. S. Department of State DS-5507 01-2016 AFFIDAVIT OF PHYSICAL PRESENCE OR RESIDENCE, PARENTAGE AND SUPPORT OMB NO. 1405-0187 EXPIRES - 11-30-2018 Estimated Burden - 30 minutes Page 1 of 5 I, do solemnly swear (or affirm): That I am a U.S. citizen/U.S. non-citizen national by: 1) birth in on 2) naturalization on before the City/Town, State in the United States Date Date Name of Court and State 3) birth abroad on Date (mm-dd-yyyy)to U.S. citizen(s) or U.S. non-citizen national(s) in(mm-dd-yyyy) (mm-dd-yyyy) (Continued on the next page) CONSULAR AND PASSPORT OFFICES OF THE UNITED STATES OF AMERICA PART I That I am (mm-dd-yyyy)to Name of Child Date of Birth Place of Birth (Continue on a separate sheet, if necessary)Name Name (All applicants please complete Part I) (choose one) Country Married (choose all that apply) married on Date That I am the biological parent of: Country in Previously Married (mm-dd-yyyy) Single If terminated, list date and manner of termination (e.g. death or divorce) (Please use a separate sheet to list additional marriages and marriage termination information.)or enter N/A. DS-5507Page 2 of 5 (Continued on the next page) That I have been physically present or have had a residence in the United States as follows: Place (Continue on a separate sheet, if necessary)(City, State) Date (mm-dd-yyyy) Date (mm-dd-yyyy) From To Place Purpose That I have been physically present or resident abroad as follows: (Country) (Continue on a separate sheet, if necessary) (Indicate purpose of stay: vacation, residence, business, studies, U.S. government employment, U.S. government/military service or dependent, etc. If working abroad give name of employer) From To (mm-dd-yyyy) Date Date (mm-dd-yyyy) That the other biological parent of the above-named child/children for whom this application for a Consular Report of Birth and/or U.S. passport is being filed is: is a citizen or national of the U.S. is not a citizen of the U.S. If the other parent is a U.S. citizen/U.S. non-citizen national it is by: 1) birth in on 2) naturalization on before theCity/Town, State in the United States Date Date Name of Court and State 3) birth abroad on Date to U.S. citizen(s)/U.S. non-citizen national(s) in(mm-dd-yyyy) (mm-dd-yyyy) (mm-dd-yyyy) Country From To From To From To From To From To From To From To NamePurpose (Indicate purpose of stay: vacation, residence, business, studies, etc.) From To From To From To From To From To From To Place (City, State) Date (mm-dd-yyyy) Date (mm-dd-yyyy) The other biological parent has been physically present or has had a residence in the United States as follows: (INFORMATION ABOUT THE UNMARRIED NON-APPLYING PARENT SHOULD ONLY BE PROVIDED IF THAT PARENT IS A U.S. CITIZEN OR U.S. NON-CITIZEN NATIONAL) (Continue on a separate sheet, if necessary) Part II of this document must be signed before a Consular Officer, Passport Specialist, or designated Consular/Acceptance Agent at the time the oath is sworn. Subscribed and sworn before me this day of , . [SEAL] Signature and Title of Consular Officer, Passport Specialist or designated Consular/Acceptance Agent Administering Oath My child was born out of wedlock, and I am the biological father through whom such child is claiming U.S. citizenship. I agree to provide financial support for such child until he/she reaches the age of eighteen years. Signature of Affiant PLEASE STOP HERE! (All applicants with a child/children born out of wedlock) PART II DS-5507 Page 3 of 5 (Continued on the next page)Purpose (Indicate purpose of stay: vacation, residence, business, studies, etc.) Part III of the document must be signed before a Consular Officer, Passport Specialist, or designated Consular/Acceptance Agent at the time the oath is sworn. SUBSCRIBED AND SWORN TO (AFFIRMED) before me this day of , at , Signature and Title of Administering Officer, [SEAL] DS-5507Page 4 of 5 WARNING: False statements made knowingly and willfully in applications for citizenship documentation or affidavits and other supporting documents are punishable by fine and/or imprisonment under the provisions of 18 USC 1001 and other applicable criminal statutes. A U.S. Consular Officer or Passport Specialist may require additional evidence of one's blood relationship to one's child and/or evidence of one's physical presence or residence in the United States. I solemnly swear (or affirm) that all the statements contained in this affidavit are true and complete to the best of my knowledge and belief, and that this affidavit is for the purpose of establishing my relationship to the aforementioned child/children and his/her/their claim to U.S. citizenship. Signature of affiant PART III (Oath: To be completed by all applicants) Present Street Address State Country City Zip Code Telephone Number PLEASE STOP HERE. PRIVACY ACT STATEMENT AUTHORITY: The State Department is authorized to collect this information pursuant to 8 U.S.C. § 1104(a)(1), 1104(a)(3), 1401, 1408, 1409, 22 U.S.C. § 211(a) and 213. PURPOSE: The principal purpose of the information gathered is to determine if a U.S. citizen/national parent(s) has met the statutory physical presence or residence requirements to transmit U.S. citizenship to his/her child born abroad or in the United States for U.S. non-citizen nationality; to establish parentage of the child; and to fulfill the requirements of 8 U.S.C. 1409(a), which permits acknowledgment of paternity under oath and requires the U.S. citizen father’s written agreement to provide financial support for his children born abroad out of wedlock. ROUTINE USES: The information solicited on this form may be made available to Federal government entities such as the Social Security Administration, the Department of Homeland Security, and Department of Justice, in connection with determinations of citizenship status, administration of federal benefits, and law enforcement purposes as set forth in the System of Records Notice for Overseas Citizens Records, STATE-05, 73 FR 24342 (2008) and the Department wide Prefatory Statement of Routine Uses, 73 FR 40649-40651 (2008). Information also can be made available to appropriate federal, state, local or foreign government entities, such as state law enforcement agencies, state prosecutors, judicial staff, local police, and INTERPOL, in connection with law enforcement, safety, welfare and related matters, as set forth by the System of Records Notice for Overseas Citizens Records, STATE-05, 73 FR 24342 (2008). These matters include custody disputes and notification of next of kin. Furnishing the information on this form is voluntary; however, failure to furnish the requested information may delay or prevent you from documenting your child as a U.S. citizen or national. PAPERWORK REDUCTION ACT (PRA) STATEMENT Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: CA/OCS/PMO, 10th Floor, SA-17, U.S. Department of State, Washington, DC 20036. Page 5 of 5 DS-5507Relevant article from our knowledge database
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In lots of circumstances, determining domicile is vital. An individual can change an individual's domicile by filling out an application for citizenship in another nation. Domicile is a significant concept in deciding the jurisdiction that is applicable to an individual. It is ordinarily not enough simply to say which you're giving up your domicile in a special state.
An individual, 18 years old and above, that has been a permanent resident for no less than five decades may make an application for citizenship. Thus you could have more than 1 residence. Generally provisions, your residence is where you live at this time, even supposing it is temporary.