Form Ds 4080 PDF Details

Are you curious about what Form DS-4080 is and how it works? This form is used specifically for American citizens who are renouncing their citizenship. In order to renounce your citizenship, you must complete this form in addition to other requirements. Let's take a closer look at what this form entails and how you can go about renouncing your citizenship. Stay tuned for our blog post next week on the specifics of Form DS-4080! In today's blog post, we'll be taking a closer look at Form DS-4080. This form is used specifically by American citizens who wish to renounce their citizenship. There are several requirements that must be met in order to complete the process of renunciation, which we'll discuss further in next week's blog post. So far, we've seen that Form DS-4080 is a requirement for those looking to renounce their US citizenship. But what exactly does this form entail? And why is it such an important step in the renunciation process? We'll answer these questions and more

QuestionAnswer
Form NameForm Ds 4080
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesrenunciation application, ds 4080, renunciation oath tennessee, renunciation states form

Form Preview Example

U. S. Department of State

BUREAU OF CONSULAR AFFAIRS

OATH/AFFIRMATION OF RENUNCIATION OF

NATIONALITY OF UNITED STATES

 

 

 

 

 

 

 

 

 

 

 

at

 

 

(Embassy/Consulate)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ss:

 

 

(Country)

 

 

 

 

 

 

 

I,

,

a national of the United States,

 

 

Name (Print Full Name)

 

 

 

 

 

 

 

solemnly swear/affirm that I was born at

 

 

 

 

,

 

 

 

 

 

 

 

 

(City or Town)

 

 

,

 

 

 

 

 

, on

 

 

 

(Province or County)

(State or Country)

 

 

 

Date (mm-dd-yyyy)

That I formerly resided in the United States at:

(Street Address)

(City, State and ZIP Code)

That I am a national of the United States by virtue of:

Birth in United States or Abroad to U.S. Parent(s)

Naturalization

Date of Naturalization

Date (mm-dd-yyyy)

(If naturalized, give the name and place of the court in the United States before which naturalization was granted.)

(Name of Court)

(Street Address)

(City, State and ZIP Code)

I desire and hereby make a formal renunciation of my U.S. nationality, as provided by section 349(a)(5) of the Immigration and Nationality Act of 1952, as amended, and pursuant thereto, I hereby absolutely and entirely renounce my United States nationality together with all rights and privileges and all duties and allegiance and fidelity thereunto pertaining. I make this renunciation intentionally, voluntarily, and of my own free will, free of any duress or undue influence.

,

 

 

 

 

 

 

 

(Signature)

Subscribed and sworn/affirmed to before me this

 

 

day of

 

 

,

 

 

at the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Embassy/Consulate)

 

 

 

 

 

 

(Place)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Signature of Officer)

SEAL

(Typed Name of Officer)

(Title of Officer)

Note: A renunciation of United States nationality/citizenship is effective only upon approval by the U.S. Department of State but, when approved, the loss of nationality/citizenship occurs as of the date the above Oath/Affirmation was taken.

DS-4080

Page 1 of 1

01-2013

 

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