{"id":761,"date":"2021-03-26T15:52:49","date_gmt":"2021-03-26T21:52:49","guid":{"rendered":"http:\/\/techory.com\/sxsw\/?page_id=761"},"modified":"2021-03-26T15:52:50","modified_gmt":"2021-03-26T21:52:50","slug":"pdf-test","status":"publish","type":"page","link":"https:\/\/techory.com\/sxsw\/?page_id=761","title":{"rendered":"PDF Test"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f760-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/sxsw\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F761#wpcf7-f760-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"760\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f760-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<link rel=\"stylesheet\" href=\"https:\/\/techory.com\/sxsw\/wp-content\/plugins\/pdf-forms-for-contact-form-7\/css\/frontend.css\" \/><script type=\"text\/javascript\" src=\"https:\/\/techory.com\/sxsw\/wp-content\/plugins\/pdf-forms-for-contact-form-7\/js\/frontend.js?ver=2.1.5\"><\/script><p><label>For USCIS Use Only<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"for-uscis-use-only\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"for-uscis-use-only\" \/><\/span>\n<\/p>\n<p><label>A<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"a\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"a\" \/><\/span>\n<\/p>\n<p><label>Initial Receipt<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"initial-receipt\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"initial-receipt\" \/><\/span>\n<\/p>\n<p><label>Resubmitted<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"resubmitted\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"resubmitted\" \/><\/span>\n<\/p>\n<p><label>Fee Stamp<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fee-stamp\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"fee-stamp\"><\/textarea><\/span>\n<\/p>\n<p><label>Sent<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sent\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"sent\" \/><\/span>\n<\/p>\n<p><label>201b Spouse IR1CR1<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-201b-spouse-ir1cr1\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-201b-spouse-ir1cr1[]\" value=\"201b Spouse  IR1CR1\" \/><span class=\"wpcf7-list-item-label\">201b Spouse  IR1CR1<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>201b Child IR2CR2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-201b-child-ir2cr2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-201b-child-ir2cr2[]\" value=\"201b Child  IR2CR2\" \/><span class=\"wpcf7-list-item-label\">201b Child  IR2CR2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>201b Parent IR5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-201b-parent-ir5\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-201b-parent-ir5[]\" value=\"201b Parent  IR5\" \/><span class=\"wpcf7-list-item-label\">201b Parent  IR5<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>203a1 Unm SD F11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-203a1-unm-sd-f11\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-203a1-unm-sd-f11[]\" value=\"203a1 Unm SD  F11\" \/><span class=\"wpcf7-list-item-label\">203a1 Unm SD  F11<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>203a2A Spouse F21<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-203a2a-spouse-f21\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-203a2a-spouse-f21[]\" value=\"203a2A Spouse  F21\" \/><span class=\"wpcf7-list-item-label\">203a2A Spouse  F21<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>203a2A Child F22<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-203a2a-child-f22\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-203a2a-child-f22[]\" value=\"203a2A Child  F22\" \/><span class=\"wpcf7-list-item-label\">203a2A Child  F22<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>203a2B Unm SD F24<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-203a2b-unm-sd-f24\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-203a2b-unm-sd-f24[]\" value=\"203a2B Unm SD  F24\" \/><span class=\"wpcf7-list-item-label\">203a2B Unm SD  F24<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>203a3 Married SD F31<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-203a3-married-sd-f31\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-203a3-married-sd-f31[]\" value=\"203a3 Married  SD  F31\" \/><span class=\"wpcf7-list-item-label\">203a3 Married  SD  F31<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>203a4 BrotherSister F41<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-203a4-brothersister-f41\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-203a4-brothersister-f41[]\" value=\"203a4 BrotherSister  F41\" \/><span class=\"wpcf7-list-item-label\">203a4 BrotherSister  F41<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Action Stamp<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"action-stamp\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"action-stamp\"><\/textarea><\/span>\n<\/p>\n<p><label>Approved<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"approved\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"approved\" \/><\/span>\n<\/p>\n<p><label>Petition was filed on Priority Date mmddyyyy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"petition-was-filed-on-priority-date-mmddyyyy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"petition-was-filed-on-priority-date-mmddyyyy\" \/><\/span>\n<\/p>\n<p><label>Returned<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"returned\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"returned\" \/><\/span>\n<\/p>\n<p><label>PDR request granteddenied New priority date mmddyyyy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pdr-request-granteddenied-new-priority-date-mmddyyyy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pdr-request-granteddenied-new-priority-date-mmddyyyy\" \/><\/span>\n<\/p>\n<p><label>Field Investigation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"field-investigation\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"field-investigation[]\" value=\"Field Investigation\" \/><span class=\"wpcf7-list-item-label\">Field Investigation<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Previously Forwarded<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"previously-forwarded\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"previously-forwarded[]\" value=\"Previously Forwarded\" \/><span class=\"wpcf7-list-item-label\">Previously Forwarded<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>203g Resolved<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-203g-resolved\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-203g-resolved[]\" value=\"203g Resolved\" \/><span class=\"wpcf7-list-item-label\">203g Resolved<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Personal Interview<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"personal-interview\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"personal-interview[]\" value=\"Personal Interview\" \/><span class=\"wpcf7-list-item-label\">Personal Interview<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Pet AFile Reviewed<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pet-afile-reviewed\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"pet-afile-reviewed[]\" value=\"Pet AFile Reviewed\" \/><span class=\"wpcf7-list-item-label\">Pet AFile Reviewed<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ben AFile Reviewed<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ben-afile-reviewed\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ben-afile-reviewed[]\" value=\"Ben AFile Reviewed\" \/><span class=\"wpcf7-list-item-label\">Ben AFile Reviewed<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>204a2A Resolved<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-204a2a-resolved\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-204a2a-resolved[]\" value=\"204a2A Resolved\" \/><span class=\"wpcf7-list-item-label\">204a2A Resolved<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I485 Filed Simultaneously<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"i485-filed-simultaneously\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"i485-filed-simultaneously[]\" value=\"I485 Filed Simultaneously\" \/><span class=\"wpcf7-list-item-label\">I485 Filed Simultaneously<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>204g Resolved<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-204g-resolved\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"f-204g-resolved[]\" value=\"204g Resolved\" \/><span class=\"wpcf7-list-item-label\">204g Resolved<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Remarks<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"remarks\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"remarks\" \/><\/span>\n<\/p>\n<p><label>At which USCIS office eg NBC VSC LOS CRO was Form I130 adjudicated<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"at-which-uscis-office-eg-nbc-vsc-los-cro-was-form-i130-adjudicated\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"at-which-uscis-office-eg-nbc-vsc-los-cro-was-form-i130-adjudicated\" \/><\/span>\n<\/p>\n<p><label>Select this box if<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"select-this-box-if\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"select-this-box-if[]\" value=\"Select this box if\" \/><span class=\"wpcf7-list-item-label\">Select this box if<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"if-any\" \/><\/span>\n<\/p>\n<p><label>if applicable<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"if-applicable\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"if-applicable\" \/><\/span>\n<\/p>\n<p><label>USCIS Online Account Number if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"uscis-online-account-number-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"uscis-online-account-number-if-any\" \/><\/span>\n<\/p>\n<p><label>Spouse<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"spouse\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"spouse[]\" value=\"Spouse\" \/><span class=\"wpcf7-list-item-label\">Spouse<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Parent<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"parent\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"parent[]\" value=\"Parent\" \/><span class=\"wpcf7-list-item-label\">Parent<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>BrotherSister<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"brothersister\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"brothersister[]\" value=\"BrotherSister\" \/><span class=\"wpcf7-list-item-label\">BrotherSister<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Child<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"child[]\" value=\"Child\" \/><span class=\"wpcf7-list-item-label\">Child<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Child was born to parents who were married to each<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-was-born-to-parents-who-were-married-to-each\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"child-was-born-to-parents-who-were-married-to-each[]\" value=\"Child was born to parents who were married to each\" \/><span class=\"wpcf7-list-item-label\">Child was born to parents who were married to each<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>StepchildStepparent<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stepchildstepparent\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"stepchildstepparent[]\" value=\"StepchildStepparent\" \/><span class=\"wpcf7-list-item-label\">StepchildStepparent<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Child was born to parents who were not married to<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-was-born-to-parents-who-were-not-married-to\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"child-was-born-to-parents-who-were-not-married-to[]\" value=\"Child was born to parents who were not married to\" \/><span class=\"wpcf7-list-item-label\">Child was born to parents who were not married to<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Child was adopted not an Orphan or Hague<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-was-adopted-not-an-orphan-or-hague\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"child-was-adopted-not-an-orphan-or-hague[]\" value=\"Child was adopted not an Orphan or Hague\" \/><span class=\"wpcf7-list-item-label\">Child was adopted not an Orphan or Hague<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Yes<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"yes\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"yes[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Did you gain lawful permanent resident status or<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"did-you-gain-lawful-permanent-resident-status-or\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"did-you-gain-lawful-permanent-resident-status-or\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"did-you-gain-lawful-permanent-resident-status-or\" value=\"No_2\" \/><span class=\"wpcf7-list-item-label\">No_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Yes_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"yes_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"yes_2[]\" value=\"Yes_2\" \/><span class=\"wpcf7-list-item-label\">Yes_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>A_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"a_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"a_2\" \/><\/span>\n<\/p>\n<p><label>undefined<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined\" \/><\/span>\n<\/p>\n<p><label>undefined_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_2\" \/><\/span>\n<\/p>\n<p><label>Family Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name\" \/><\/span>\n<\/p>\n<p><label>First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n<\/p>\n<p><label>Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name\" \/><\/span>\n<\/p>\n<p><label>Form I130 021319<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319\" \/><\/span>\n<\/p>\n<p><label>Page 1 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-1-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-1-of-12\" \/><\/span>\n<\/p>\n<p><label>Family Name_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_2\" \/><\/span>\n<\/p>\n<p><label>First Name_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_2\" \/><\/span>\n<\/p>\n<p><label>Middle Name_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_2\" \/><\/span>\n<\/p>\n<p><label>CityTownVillage of Birth<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"citytownvillage-of-birth\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"citytownvillage-of-birth\" \/><\/span>\n<\/p>\n<p><label>Country of Birth<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy\" \/><\/span>\n<\/p>\n<p><label>Sex<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sex\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sex\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sex\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>In Care Of Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"in-care-of-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"in-care-of-name\" \/><\/span>\n<\/p>\n<p><label>Street Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number\" \/><\/span>\n<\/p>\n<p><label>Apt<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt[]\" value=\"Apt\" \/><span class=\"wpcf7-list-item-label\">Apt<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste[]\" value=\"Ste\" \/><span class=\"wpcf7-list-item-label\">Ste<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_3\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_3[]\" value=\"undefined_3\" \/><span class=\"wpcf7-list-item-label\">undefined_3<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr\" \/><\/span>\n<\/p>\n<p><label>City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town\" \/><\/span>\n<\/p>\n<p><label>State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" \/><\/span>\n<\/p>\n<p><label>10f ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-10f-zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-10f-zip-code\" \/><\/span>\n<\/p>\n<p><label>Province<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province\" \/><\/span>\n<\/p>\n<p><label>Postal Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-code\" \/><\/span>\n<\/p>\n<p><label>Country<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country\" \/><\/span>\n<\/p>\n<p><label>Is your current mailing address the same as your physical<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"is-your-current-mailing-address-the-same-as-your-physical\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"is-your-current-mailing-address-the-same-as-your-physical\" value=\"No_3\" \/><span class=\"wpcf7-list-item-label\">No_3<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"is-your-current-mailing-address-the-same-as-your-physical\" value=\"Yes_3\" \/><span class=\"wpcf7-list-item-label\">Yes_3<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Street Number_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_2\" \/><\/span>\n<\/p>\n<p><label>Apt_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_2[]\" value=\"Apt_2\" \/><span class=\"wpcf7-list-item-label\">Apt_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_2[]\" value=\"Ste_2\" \/><span class=\"wpcf7-list-item-label\">Ste_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_4\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_4[]\" value=\"undefined_4\" \/><span class=\"wpcf7-list-item-label\">undefined_4<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr_2\" \/><\/span>\n<\/p>\n<p><label>City or Town_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_2\" \/><\/span>\n<\/p>\n<p><label>State_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state_2\" \/><\/span>\n<\/p>\n<p><label>12e ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-12e-zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-12e-zip-code\" \/><\/span>\n<\/p>\n<p><label>Province_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province_2\" \/><\/span>\n<\/p>\n<p><label>Postal Code_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-code_2\" \/><\/span>\n<\/p>\n<p><label>Country_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_2\" \/><\/span>\n<\/p>\n<p><label>undefined_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_5\" \/><\/span>\n<\/p>\n<p><label>Street Number_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_3\" \/><\/span>\n<\/p>\n<p><label>Apt_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_3\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_3[]\" value=\"Apt_3\" \/><span class=\"wpcf7-list-item-label\">Apt_3<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_3\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_3[]\" value=\"Ste_3\" \/><span class=\"wpcf7-list-item-label\">Ste_3<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_6\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_6[]\" value=\"undefined_6\" \/><span class=\"wpcf7-list-item-label\">undefined_6<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr_3\" \/><\/span>\n<\/p>\n<p><label>City or Town_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_3\" \/><\/span>\n<\/p>\n<p><label>State_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state_3\" \/><\/span>\n<\/p>\n<p><label>14e ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-14e-zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-14e-zip-code\" \/><\/span>\n<\/p>\n<p><label>Province_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province_3\" \/><\/span>\n<\/p>\n<p><label>Postal Code_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-code_3\" \/><\/span>\n<\/p>\n<p><label>Country_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_3\" \/><\/span>\n<\/p>\n<p><label>undefined_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_7\" \/><\/span>\n<\/p>\n<p><label>undefined_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_8\" \/><\/span>\n<\/p>\n<p><label>undefined_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_9\" \/><\/span>\n<\/p>\n<p><label>Single Never Married<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"single-never-married\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"single-never-married[]\" value=\"Single Never Married\" \/><span class=\"wpcf7-list-item-label\">Single Never Married<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Married<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"married\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"married[]\" value=\"Married\" \/><span class=\"wpcf7-list-item-label\">Married<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Divorced<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"divorced\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"divorced[]\" value=\"Divorced\" \/><span class=\"wpcf7-list-item-label\">Divorced<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Widowed<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"widowed\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"widowed[]\" value=\"Widowed\" \/><span class=\"wpcf7-list-item-label\">Widowed<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Separated<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"separated\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"separated[]\" value=\"Separated\" \/><span class=\"wpcf7-list-item-label\">Separated<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Annulled<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"annulled\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"annulled[]\" value=\"Annulled\" \/><span class=\"wpcf7-list-item-label\">Annulled<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Form I130 021319_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319_2\" \/><\/span>\n<\/p>\n<p><label>Page 2 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-2-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-2-of-12\" \/><\/span>\n<\/p>\n<p><label>Date of Current Marriage if currently married<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-current-marriage-if-currently-married\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-current-marriage-if-currently-married\" \/><\/span>\n<\/p>\n<p><label>19a City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-19a-city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-19a-city-or-town\" \/><\/span>\n<\/p>\n<p><label>undefined_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_10\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_10\" \/><\/span>\n<\/p>\n<p><label>19c Province<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-19c-province\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-19c-province\" \/><\/span>\n<\/p>\n<p><label>19d Country<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-19d-country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-19d-country\" \/><\/span>\n<\/p>\n<p><label>20a Family Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-20a-family-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-20a-family-name\" \/><\/span>\n<\/p>\n<p><label>First Name_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_3\" \/><\/span>\n<\/p>\n<p><label>20c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-20c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-20c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Date Marriage Ended mmddyyyy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-marriage-ended-mmddyyyy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-marriage-ended-mmddyyyy\" \/><\/span>\n<\/p>\n<p><label>Family Name_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_3\" \/><\/span>\n<\/p>\n<p><label>First Name_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_4\" \/><\/span>\n<\/p>\n<p><label>22c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-22c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-22c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Date Marriage Ended mmddyyyy_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-marriage-ended-mmddyyyy_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-marriage-ended-mmddyyyy_2\" \/><\/span>\n<\/p>\n<p><label>Family Name_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_4\" \/><\/span>\n<\/p>\n<p><label>First Name_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_5\" \/><\/span>\n<\/p>\n<p><label>Middle Name_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_3\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy_2\" \/><\/span>\n<\/p>\n<p><label>Sex_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sex_2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sex_2\" value=\"Male_2\" \/><span class=\"wpcf7-list-item-label\">Male_2<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sex_2\" value=\"Female_2\" \/><span class=\"wpcf7-list-item-label\">Female_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Country of Birth_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth_2\" \/><\/span>\n<\/p>\n<p><label>CityTownVillage of Residence<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"citytownvillage-of-residence\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"citytownvillage-of-residence\" \/><\/span>\n<\/p>\n<p><label>Country of Residence<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-residence\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-residence\" \/><\/span>\n<\/p>\n<p><label>Family Name_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_5\" \/><\/span>\n<\/p>\n<p><label>First Name_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_6\" \/><\/span>\n<\/p>\n<p><label>Middle Name_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_4\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy_3\" \/><\/span>\n<\/p>\n<p><label>Sex_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sex_3\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sex_3\" value=\"Female_3\" \/><span class=\"wpcf7-list-item-label\">Female_3<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sex_3\" value=\"Male_3\" \/><span class=\"wpcf7-list-item-label\">Male_3<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Country of Birth_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth_3\" \/><\/span>\n<\/p>\n<p><label>CityTownVillage of Residence_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"citytownvillage-of-residence_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"citytownvillage-of-residence_2\" \/><\/span>\n<\/p>\n<p><label>Country of Residence_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-residence_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-residence_2\" \/><\/span>\n<\/p>\n<p><label>US Citizen<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"us-citizen\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"us-citizen[]\" value=\"US Citizen\" \/><span class=\"wpcf7-list-item-label\">US Citizen<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Lawful Permanent Resident<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lawful-permanent-resident\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"lawful-permanent-resident[]\" value=\"Lawful Permanent Resident\" \/><span class=\"wpcf7-list-item-label\">Lawful Permanent Resident<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Birth in the United States<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"birth-in-the-united-states\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"birth-in-the-united-states[]\" value=\"Birth in the United States\" \/><span class=\"wpcf7-list-item-label\">Birth in the United States<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Naturalization<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"naturalization\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"naturalization[]\" value=\"Naturalization\" \/><span class=\"wpcf7-list-item-label\">Naturalization<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Parents<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"parents\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"parents[]\" value=\"Parents\" \/><span class=\"wpcf7-list-item-label\">Parents<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Have you obtained a Certificate of Naturalization or a<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"have-you-obtained-a-certificate-of-naturalization-or-a\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"have-you-obtained-a-certificate-of-naturalization-or-a\" value=\"No_4\" \/><span class=\"wpcf7-list-item-label\">No_4<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"have-you-obtained-a-certificate-of-naturalization-or-a\" value=\"Yes_4\" \/><span class=\"wpcf7-list-item-label\">Yes_4<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>39a Certificate Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-39a-certificate-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-39a-certificate-number\" \/><\/span>\n<\/p>\n<p><label>39b Place of Issuance<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-39b-place-of-issuance\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-39b-place-of-issuance\" \/><\/span>\n<\/p>\n<p><label>39c Date of Issuance mmddyyyy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-39c-date-of-issuance-mmddyyyy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-39c-date-of-issuance-mmddyyyy\" \/><\/span>\n<\/p>\n<p><label>40a Class of Admission<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-40a-class-of-admission\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-40a-class-of-admission\" \/><\/span>\n<\/p>\n<p><label>40b Date of Admission mmddyyyy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-40b-date-of-admission-mmddyyyy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-40b-date-of-admission-mmddyyyy\" \/><\/span>\n<\/p>\n<p><label>40c City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-40c-city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-40c-city-or-town\" \/><\/span>\n<\/p>\n<p><label>Did you gain lawful permanent resident status through<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"did-you-gain-lawful-permanent-resident-status-through\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"did-you-gain-lawful-permanent-resident-status-through\" \/><\/span>\n<\/p>\n<p><label>marriage to a US citizen or lawful permanent resident<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"marriage-to-a-us-citizen-or-lawful-permanent-resident\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"marriage-to-a-us-citizen-or-lawful-permanent-resident\" value=\"No_5\" \/><span class=\"wpcf7-list-item-label\">No_5<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"marriage-to-a-us-citizen-or-lawful-permanent-resident\" value=\"Yes_5\" \/><span class=\"wpcf7-list-item-label\">Yes_5<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Name of EmployerCompany<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"name-of-employercompany\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"name-of-employercompany\" \/><\/span>\n<\/p>\n<p><label>Street Number_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_4\" \/><\/span>\n<\/p>\n<p><label>Apt_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_4\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_4[]\" value=\"Apt_4\" \/><span class=\"wpcf7-list-item-label\">Apt_4<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_4\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_4[]\" value=\"Ste_4\" \/><span class=\"wpcf7-list-item-label\">Ste_4<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_4\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"flr_4[]\" value=\"Flr_4\" \/><span class=\"wpcf7-list-item-label\">Flr_4<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_11\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_11\" \/><\/span>\n<\/p>\n<p><label>43c City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-43c-city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-43c-city-or-town\" \/><\/span>\n<\/p>\n<p><label>43d State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-43d-state\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-43d-state\" \/><\/span>\n<\/p>\n<p><label>43e ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-43e-zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-43e-zip-code\" \/><\/span>\n<\/p>\n<p><label>Province_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province_4\" \/><\/span>\n<\/p>\n<p><label>43g Postal Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-43g-postal-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-43g-postal-code\" \/><\/span>\n<\/p>\n<p><label>Country_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_4\" \/><\/span>\n<\/p>\n<p><label>Your Occupation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-occupation\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-occupation\" \/><\/span>\n<\/p>\n<p><label>undefined_12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_12\" \/><\/span>\n<\/p>\n<p><label>Name of EmployerCompany_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"name-of-employercompany_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"name-of-employercompany_2\" \/><\/span>\n<\/p>\n<p><label>Street Number_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_5\" \/><\/span>\n<\/p>\n<p><label>Apt_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_5\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_5[]\" value=\"Apt_5\" \/><span class=\"wpcf7-list-item-label\">Apt_5<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_5\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_5[]\" value=\"Ste_5\" \/><span class=\"wpcf7-list-item-label\">Ste_5<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_5\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"flr_5[]\" value=\"Flr_5\" \/><span class=\"wpcf7-list-item-label\">Flr_5<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_13<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_13\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_13\" \/><\/span>\n<\/p>\n<p><label>47c City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-47c-city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-47c-city-or-town\" \/><\/span>\n<\/p>\n<p><label>47d State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-47d-state\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-47d-state\" \/><\/span>\n<\/p>\n<p><label>47e ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-47e-zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-47e-zip-code\" \/><\/span>\n<\/p>\n<p><label>Province_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province_5\" \/><\/span>\n<\/p>\n<p><label>47g Postal Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-47g-postal-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-47g-postal-code\" \/><\/span>\n<\/p>\n<p><label>Country_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_5\" \/><\/span>\n<\/p>\n<p><label>Your Occupation_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-occupation_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-occupation_2\" \/><\/span>\n<\/p>\n<p><label>undefined_14<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_14\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_14\" \/><\/span>\n<\/p>\n<p><label>undefined_15<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_15\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_15\" \/><\/span>\n<\/p>\n<p><label>Part 3 Biographic Information<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"part-3-biographic-information\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"part-3-biographic-information\" \/><\/span>\n<\/p>\n<p><label>Hispanic or Latino<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hispanic-or-latino\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"hispanic-or-latino[]\" value=\"Hispanic or Latino\" \/><span class=\"wpcf7-list-item-label\">Hispanic or Latino<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Not Hispanic or Latino<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"not-hispanic-or-latino\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"not-hispanic-or-latino[]\" value=\"Not Hispanic or Latino\" \/><span class=\"wpcf7-list-item-label\">Not Hispanic or Latino<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>White<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"white\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"white[]\" value=\"White\" \/><span class=\"wpcf7-list-item-label\">White<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Asian<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"asian\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"asian[]\" value=\"Asian\" \/><span class=\"wpcf7-list-item-label\">Asian<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Black or African American<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"black-or-african-american\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"black-or-african-american[]\" value=\"Black or African American\" \/><span class=\"wpcf7-list-item-label\">Black or African American<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>American Indian or Alaska Native<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"american-indian-or-alaska-native\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"american-indian-or-alaska-native[]\" value=\"American Indian or Alaska Native\" \/><span class=\"wpcf7-list-item-label\">American Indian or Alaska Native<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Native Hawaiian or Other Pacific Islander<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"native-hawaiian-or-other-pacific-islander\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"native-hawaiian-or-other-pacific-islander[]\" value=\"Native Hawaiian or Other Pacific Islander\" \/><span class=\"wpcf7-list-item-label\">Native Hawaiian or Other Pacific Islander<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Feet<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"feet\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"feet\" \/><\/span>\n<\/p>\n<p><label>Inches<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"inches\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"inches\" \/><\/span>\n<\/p>\n<p><label>Pounds<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pounds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"pounds[]\" value=\"Pounds\" \/><span class=\"wpcf7-list-item-label\">Pounds<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_16<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_16\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_16[]\" value=\"undefined_16\" \/><span class=\"wpcf7-list-item-label\">undefined_16<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_17<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_17\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_17\" \/><\/span>\n<\/p>\n<p><label>Black<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"black\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"black[]\" value=\"Black\" \/><span class=\"wpcf7-list-item-label\">Black<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Gray<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gray\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"gray[]\" value=\"Gray\" \/><span class=\"wpcf7-list-item-label\">Gray<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Maroon<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"maroon\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"maroon[]\" value=\"Maroon\" \/><span class=\"wpcf7-list-item-label\">Maroon<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Blue<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"blue\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"blue[]\" value=\"Blue\" \/><span class=\"wpcf7-list-item-label\">Blue<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Green<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"green\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"green[]\" value=\"Green\" \/><span class=\"wpcf7-list-item-label\">Green<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Pink<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pink\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"pink[]\" value=\"Pink\" \/><span class=\"wpcf7-list-item-label\">Pink<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Brown<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"brown\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"brown[]\" value=\"Brown\" \/><span class=\"wpcf7-list-item-label\">Brown<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Hazel<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hazel\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"hazel[]\" value=\"Hazel\" \/><span class=\"wpcf7-list-item-label\">Hazel<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>UnknownOther<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"unknownother\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"unknownother[]\" value=\"UnknownOther\" \/><span class=\"wpcf7-list-item-label\">UnknownOther<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Form I130 021319_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319_3\" \/><\/span>\n<\/p>\n<p><label>Page 4 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-4-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-4-of-12\" \/><\/span>\n<\/p>\n<p><label>Bald No hair<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bald-no-hair\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"bald-no-hair[]\" value=\"Bald No hair\" \/><span class=\"wpcf7-list-item-label\">Bald No hair<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Brown_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"brown_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"brown_2[]\" value=\"Brown_2\" \/><span class=\"wpcf7-list-item-label\">Brown_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Sandy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sandy\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"sandy[]\" value=\"Sandy\" \/><span class=\"wpcf7-list-item-label\">Sandy<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Black_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"black_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"black_2[]\" value=\"Black_2\" \/><span class=\"wpcf7-list-item-label\">Black_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Gray_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gray_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"gray_2[]\" value=\"Gray_2\" \/><span class=\"wpcf7-list-item-label\">Gray_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>White_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"white_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"white_2[]\" value=\"White_2\" \/><span class=\"wpcf7-list-item-label\">White_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Blond<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"blond\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"blond[]\" value=\"Blond\" \/><span class=\"wpcf7-list-item-label\">Blond<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Red<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"red\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"red[]\" value=\"Red\" \/><span class=\"wpcf7-list-item-label\">Red<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>UnknownOther_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"unknownother_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"unknownother_2[]\" value=\"UnknownOther_2\" \/><span class=\"wpcf7-list-item-label\">UnknownOther_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>A_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"a_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"a_3\" \/><\/span>\n<\/p>\n<p><label>undefined_18<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_18\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_18\" \/><\/span>\n<\/p>\n<p><label>undefined_19<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_19\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_19\" \/><\/span>\n<\/p>\n<p><label>Family Name_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_6\" \/><\/span>\n<\/p>\n<p><label>First Name_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_7\" \/><\/span>\n<\/p>\n<p><label>Middle Name_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_5\" \/><\/span>\n<\/p>\n<p><label>Family Name_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_7\" \/><\/span>\n<\/p>\n<p><label>First Name_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_8\" \/><\/span>\n<\/p>\n<p><label>Middle Name_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_6\" \/><\/span>\n<\/p>\n<p><label>CityTownVillage of Birth_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"citytownvillage-of-birth_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"citytownvillage-of-birth_2\" \/><\/span>\n<\/p>\n<p><label>Country of Birth_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth_4\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy_4\" \/><\/span>\n<\/p>\n<p><label>Sex_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sex_4\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sex_4\" value=\"Female_4\" \/><span class=\"wpcf7-list-item-label\">Female_4<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sex_4\" value=\"Male_4\" \/><span class=\"wpcf7-list-item-label\">Male_4<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Has anyone else ever filed a petition for the beneficiary<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"has-anyone-else-ever-filed-a-petition-for-the-beneficiary\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"has-anyone-else-ever-filed-a-petition-for-the-beneficiary\" value=\"Unknown\" \/><span class=\"wpcf7-list-item-label\">Unknown<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"has-anyone-else-ever-filed-a-petition-for-the-beneficiary\" value=\"Yes_6\" \/><span class=\"wpcf7-list-item-label\">Yes_6<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"has-anyone-else-ever-filed-a-petition-for-the-beneficiary\" value=\"No_6\" \/><span class=\"wpcf7-list-item-label\">No_6<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Street Number_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_6\" \/><\/span>\n<\/p>\n<p><label>Apt_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_6\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_6[]\" value=\"Apt_6\" \/><span class=\"wpcf7-list-item-label\">Apt_6<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_6\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_6[]\" value=\"Ste_6\" \/><span class=\"wpcf7-list-item-label\">Ste_6<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_20<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_20\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_20[]\" value=\"undefined_20\" \/><span class=\"wpcf7-list-item-label\">undefined_20<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr_6\" \/><\/span>\n<\/p>\n<p><label>City or Town_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_4\" \/><\/span>\n<\/p>\n<p><label>State_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state_4\" \/><\/span>\n<\/p>\n<p><label>11e ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-11e-zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-11e-zip-code\" \/><\/span>\n<\/p>\n<p><label>Province_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province_6\" \/><\/span>\n<\/p>\n<p><label>Postal Code_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-code_4\" \/><\/span>\n<\/p>\n<p><label>Country_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_6\" \/><\/span>\n<\/p>\n<p><label>Street Number_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_7\" \/><\/span>\n<\/p>\n<p><label>Apt_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_7\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_7[]\" value=\"Apt_7\" \/><span class=\"wpcf7-list-item-label\">Apt_7<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_7\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_7[]\" value=\"Ste_7\" \/><span class=\"wpcf7-list-item-label\">Ste_7<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_21<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_21\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_21[]\" value=\"undefined_21\" \/><span class=\"wpcf7-list-item-label\">undefined_21<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr_7\" \/><\/span>\n<\/p>\n<p><label>City or Town_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_5\" \/><\/span>\n<\/p>\n<p><label>State_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state_5\" \/><\/span>\n<\/p>\n<p><label>12e ZIP Code_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-12e-zip-code_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-12e-zip-code_2\" \/><\/span>\n<\/p>\n<p><label>Street Number_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_8\" \/><\/span>\n<\/p>\n<p><label>Apt_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_8\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_8[]\" value=\"Apt_8\" \/><span class=\"wpcf7-list-item-label\">Apt_8<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_8\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_8[]\" value=\"Ste_8\" \/><span class=\"wpcf7-list-item-label\">Ste_8<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_22<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_22\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_22[]\" value=\"undefined_22\" \/><span class=\"wpcf7-list-item-label\">undefined_22<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr_8\" \/><\/span>\n<\/p>\n<p><label>13c City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-13c-city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-13c-city-or-town\" \/><\/span>\n<\/p>\n<p><label>13d Province<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-13d-province\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-13d-province\" \/><\/span>\n<\/p>\n<p><label>13e Postal Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-13e-postal-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-13e-postal-code\" \/><\/span>\n<\/p>\n<p><label>13f Country<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-13f-country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-13f-country\" \/><\/span>\n<\/p>\n<p><label>Daytime Telephone Number if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"daytime-telephone-number-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"daytime-telephone-number-if-any\" \/><\/span>\n<\/p>\n<p><label>Mobile Telephone Number if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mobile-telephone-number-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mobile-telephone-number-if-any\" \/><\/span>\n<\/p>\n<p><label>Email Address if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-address-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"email-address-if-any\" \/><\/span>\n<\/p>\n<p><label>undefined_23<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_23\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_23\" \/><\/span>\n<\/p>\n<p><label>Single Never Married_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"single-never-married_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"single-never-married_2[]\" value=\"Single Never Married_2\" \/><span class=\"wpcf7-list-item-label\">Single Never Married_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Married_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"married_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"married_2[]\" value=\"Married_2\" \/><span class=\"wpcf7-list-item-label\">Married_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Divorced_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"divorced_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"divorced_2[]\" value=\"Divorced_2\" \/><span class=\"wpcf7-list-item-label\">Divorced_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Widowed_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"widowed_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"widowed_2[]\" value=\"Widowed_2\" \/><span class=\"wpcf7-list-item-label\">Widowed_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Separated_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"separated_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"separated_2[]\" value=\"Separated_2\" \/><span class=\"wpcf7-list-item-label\">Separated_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Annulled_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"annulled_2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"annulled_2[]\" value=\"Annulled_2\" \/><span class=\"wpcf7-list-item-label\">Annulled_2<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Date of Current Marriage if currently married_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-current-marriage-if-currently-married_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-current-marriage-if-currently-married_2\" \/><\/span>\n<\/p>\n<p><label>City or Town_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_6\" \/><\/span>\n<\/p>\n<p><label>undefined_24<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_24\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_24\" \/><\/span>\n<\/p>\n<p><label>Province_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province_7\" \/><\/span>\n<\/p>\n<p><label>Country_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_7\" \/><\/span>\n<\/p>\n<p><label>21a Family Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-21a-family-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-21a-family-name\" \/><\/span>\n<\/p>\n<p><label>First Name_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_9\" \/><\/span>\n<\/p>\n<p><label>21c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-21c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-21c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Date Marriage Ended mmddyyyy_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-marriage-ended-mmddyyyy_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-marriage-ended-mmddyyyy_3\" \/><\/span>\n<\/p>\n<p><label>Spouse 2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"spouse-2\" \/><\/span>\n<\/p>\n<p><label>23a Family Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-23a-family-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-23a-family-name\" \/><\/span>\n<\/p>\n<p><label>First Name_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_10\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_10\" \/><\/span>\n<\/p>\n<p><label>23c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-23c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-23c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Date Marriage Ended mmddyyyy_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-marriage-ended-mmddyyyy_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-marriage-ended-mmddyyyy_4\" \/><\/span>\n<\/p>\n<p><label>25a Family Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-25a-family-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-25a-family-name\" \/><\/span>\n<\/p>\n<p><label>First Name_11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_11\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_11\" \/><\/span>\n<\/p>\n<p><label>25c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-25c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-25c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Relationship<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relationship\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy_5\" \/><\/span>\n<\/p>\n<p><label>Country of Birth_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth_5\" \/><\/span>\n<\/p>\n<p><label>Person 2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"person-2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"person-2\" \/><\/span>\n<\/p>\n<p><label>29a Family Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-29a-family-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-29a-family-name\" \/><\/span>\n<\/p>\n<p><label>First Name_12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_12\" \/><\/span>\n<\/p>\n<p><label>29c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-29c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-29c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Relationship_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relationship_2\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy_6\" \/><\/span>\n<\/p>\n<p><label>Country of Birth_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth_6\" \/><\/span>\n<\/p>\n<p><label>Person 3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"person-3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"person-3\" \/><\/span>\n<\/p>\n<p><label>Family Name_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_8\" \/><\/span>\n<\/p>\n<p><label>First Name_13<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_13\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_13\" \/><\/span>\n<\/p>\n<p><label>33c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-33c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-33c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Relationship_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relationship_3\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy_7\" \/><\/span>\n<\/p>\n<p><label>Country of Birth_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth_7\" \/><\/span>\n<\/p>\n<p><label>Family Name_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_9\" \/><\/span>\n<\/p>\n<p><label>First Name_14<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_14\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_14\" \/><\/span>\n<\/p>\n<p><label>37c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-37c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-37c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Relationship_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relationship_4\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy_8\" \/><\/span>\n<\/p>\n<p><label>Country of Birth_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth_8\" \/><\/span>\n<\/p>\n<p><label>Person 5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"person-5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"person-5\" \/><\/span>\n<\/p>\n<p><label>41a Family Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-41a-family-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-41a-family-name\" \/><\/span>\n<\/p>\n<p><label>First Name_15<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_15\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_15\" \/><\/span>\n<\/p>\n<p><label>41c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-41c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-41c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Relationship_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relationship_5\" \/><\/span>\n<\/p>\n<p><label>Date of Birth mmddyyyy_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth-mmddyyyy_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-of-birth-mmddyyyy_9\" \/><\/span>\n<\/p>\n<p><label>Country of Birth_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-birth_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-birth_9\" \/><\/span>\n<\/p>\n<p><label>Was the beneficiary EVER in the United States<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"was-the-beneficiary-ever-in-the-united-states\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"was-the-beneficiary-ever-in-the-united-states\" value=\"Yes_7\" \/><span class=\"wpcf7-list-item-label\">Yes_7<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"was-the-beneficiary-ever-in-the-united-states\" value=\"No_7\" \/><span class=\"wpcf7-list-item-label\">No_7<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>46a He or she arrived as a Class of Admission<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-46a-he-or-she-arrived-as-a-class-of-admission\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-46a-he-or-she-arrived-as-a-class-of-admission\" \/><\/span>\n<\/p>\n<p><label>undefined_25<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_25\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_25\" \/><\/span>\n<\/p>\n<p><label>46c Date of Arrival mmddyyyy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-46c-date-of-arrival-mmddyyyy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-46c-date-of-arrival-mmddyyyy\" \/><\/span>\n<\/p>\n<p><label>Form I94 or Form I95 mmddyyyy or type or print<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i94-or-form-i95-mmddyyyy-or-type-or-print\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i94-or-form-i95-mmddyyyy-or-type-or-print\" \/><\/span>\n<\/p>\n<p><label>Passport Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"passport-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"passport-number\" \/><\/span>\n<\/p>\n<p><label>Travel Document Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"travel-document-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"travel-document-number\" \/><\/span>\n<\/p>\n<p><label>Country of Issuance for Passport or Travel Document<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country-of-issuance-for-passport-or-travel-document\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-of-issuance-for-passport-or-travel-document\" \/><\/span>\n<\/p>\n<p><label>Expiration Date for Passport or Travel Document<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"expiration-date-for-passport-or-travel-document\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"expiration-date-for-passport-or-travel-document\" \/><\/span>\n<\/p>\n<p><label>Name of Current Employer if applicable<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"name-of-current-employer-if-applicable\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"name-of-current-employer-if-applicable\" \/><\/span>\n<\/p>\n<p><label>Street Number_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_9\" \/><\/span>\n<\/p>\n<p><label>Apt_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_9\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_9[]\" value=\"Apt_9\" \/><span class=\"wpcf7-list-item-label\">Apt_9<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_9\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_9[]\" value=\"Ste_9\" \/><span class=\"wpcf7-list-item-label\">Ste_9<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_26<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_26\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_26[]\" value=\"undefined_26\" \/><span class=\"wpcf7-list-item-label\">undefined_26<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr_9\" \/><\/span>\n<\/p>\n<p><label>City or Town_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_7\" \/><\/span>\n<\/p>\n<p><label>51e State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-51e-state\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-51e-state\" \/><\/span>\n<\/p>\n<p><label>51f ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-51f-zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-51f-zip-code\" \/><\/span>\n<\/p>\n<p><label>51g Province<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-51g-province\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-51g-province\" \/><\/span>\n<\/p>\n<p><label>51h Postal Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-51h-postal-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-51h-postal-code\" \/><\/span>\n<\/p>\n<p><label>51i Country<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-51i-country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-51i-country\" \/><\/span>\n<\/p>\n<p><label>Date Employment Began mmddyyyy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-employment-began-mmddyyyy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-employment-began-mmddyyyy\" \/><\/span>\n<\/p>\n<p><label>Was the beneficiary EVER in immigration proceedings<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"was-the-beneficiary-ever-in-immigration-proceedings\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"was-the-beneficiary-ever-in-immigration-proceedings\" value=\"Yes_8\" \/><span class=\"wpcf7-list-item-label\">Yes_8<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"was-the-beneficiary-ever-in-immigration-proceedings\" value=\"No_8\" \/><span class=\"wpcf7-list-item-label\">No_8<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Removal<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"removal\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"removal[]\" value=\"Removal\" \/><span class=\"wpcf7-list-item-label\">Removal<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Rescission<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rescission\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"rescission[]\" value=\"Rescission\" \/><span class=\"wpcf7-list-item-label\">Rescission<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>ExclusionDeportation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"exclusiondeportation\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"exclusiondeportation[]\" value=\"ExclusionDeportation\" \/><span class=\"wpcf7-list-item-label\">ExclusionDeportation<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Other Judicial Proceedings<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"other-judicial-proceedings\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"other-judicial-proceedings[]\" value=\"Other Judicial Proceedings\" \/><span class=\"wpcf7-list-item-label\">Other Judicial Proceedings<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>City or Town_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_8\" \/><\/span>\n<\/p>\n<p><label>55b State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-55b-state\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-55b-state\" \/><\/span>\n<\/p>\n<p><label>undefined_27<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_27\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_27\" \/><\/span>\n<\/p>\n<p><label>Form I130 021319_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319_4\" \/><\/span>\n<\/p>\n<p><label>Page 7 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-7-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-7-of-12\" \/><\/span>\n<\/p>\n<p><label>Family Name_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_10\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_10\" \/><\/span>\n<\/p>\n<p><label>First Name_16<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_16\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_16\" \/><\/span>\n<\/p>\n<p><label>57c Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-57c-middle-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-57c-middle-name\" \/><\/span>\n<\/p>\n<p><label>Street Number_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_10\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_10\" \/><\/span>\n<\/p>\n<p><label>Apt_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_10\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_10[]\" value=\"Apt_10\" \/><span class=\"wpcf7-list-item-label\">Apt_10<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_10\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_10[]\" value=\"Ste_10\" \/><span class=\"wpcf7-list-item-label\">Ste_10<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_28<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_28\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_28[]\" value=\"undefined_28\" \/><span class=\"wpcf7-list-item-label\">undefined_28<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_10\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr_10\" \/><\/span>\n<\/p>\n<p><label>58c City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-58c-city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-58c-city-or-town\" \/><\/span>\n<\/p>\n<p><label>58d Province<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-58d-province\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-58d-province\" \/><\/span>\n<\/p>\n<p><label>58e Postal Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-58e-postal-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-58e-postal-code\" \/><\/span>\n<\/p>\n<p><label>58f Country<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-58f-country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-58f-country\" \/><\/span>\n<\/p>\n<p><label>Street Number_11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_11\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number_11\" \/><\/span>\n<\/p>\n<p><label>Apt_11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_11\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_11[]\" value=\"Apt_11\" \/><span class=\"wpcf7-list-item-label\">Apt_11<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Ste_11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_11\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"ste_11[]\" value=\"Ste_11\" \/><span class=\"wpcf7-list-item-label\">Ste_11<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_29<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_29\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"undefined_29[]\" value=\"undefined_29\" \/><span class=\"wpcf7-list-item-label\">undefined_29<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_11\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"flr_11\" \/><\/span>\n<\/p>\n<p><label>59c City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-59c-city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-59c-city-or-town\" \/><\/span>\n<\/p>\n<p><label>59d State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-59d-state\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-59d-state\" \/><\/span>\n<\/p>\n<p><label>59e ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-59e-zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-59e-zip-code\" \/><\/span>\n<\/p>\n<p><label>59f Province<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-59f-province\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-59f-province\" \/><\/span>\n<\/p>\n<p><label>59g Postal Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-59g-postal-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-59g-postal-code\" \/><\/span>\n<\/p>\n<p><label>59h Country<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-59h-country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-59h-country\" \/><\/span>\n<\/p>\n<p><label>undefined_30<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_30\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_30\" \/><\/span>\n<\/p>\n<p><label>undefined_31<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_31\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_31\" \/><\/span>\n<\/p>\n<p><label>61a City or Town<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-61a-city-or-town\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-61a-city-or-town\" \/><\/span>\n<\/p>\n<p><label>undefined_32<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_32\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_32\" \/><\/span>\n<\/p>\n<p><label>City or Town_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_9\" \/><\/span>\n<\/p>\n<p><label>Province_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province_8\" \/><\/span>\n<\/p>\n<p><label>Country_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_8\" \/><\/span>\n<\/p>\n<p><label>Part 5 Other Information<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"part-5-other-information\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"part-5-other-information\" \/><\/span>\n<\/p>\n<p><label>Have you EVER previously filed a petition for this<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"have-you-ever-previously-filed-a-petition-for-this\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"have-you-ever-previously-filed-a-petition-for-this\" value=\"Yes_9\" \/><span class=\"wpcf7-list-item-label\">Yes_9<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"have-you-ever-previously-filed-a-petition-for-this\" value=\"No_9\" \/><span class=\"wpcf7-list-item-label\">No_9<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Family Name_11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_11\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_11\" \/><\/span>\n<\/p>\n<p><label>First Name_17<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_17\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_17\" \/><\/span>\n<\/p>\n<p><label>Middle Name_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_7\" \/><\/span>\n<\/p>\n<p><label>City or Town_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_10\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_10\" \/><\/span>\n<\/p>\n<p><label>undefined_33<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_33\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_33\" \/><\/span>\n<\/p>\n<p><label>Result for example approved denied withdrawn<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"result-for-example-approved-denied-withdrawn\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"result-for-example-approved-denied-withdrawn\" \/><\/span>\n<\/p>\n<p><label>If you are also submitting separate petitions for other relatives<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"if-you-are-also-submitting-separate-petitions-for-other-relatives\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"if-you-are-also-submitting-separate-petitions-for-other-relatives\" \/><\/span>\n<\/p>\n<p><label>Family Name_12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_12\" \/><\/span>\n<\/p>\n<p><label>First Name_18<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_18\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_18\" \/><\/span>\n<\/p>\n<p><label>Middle Name_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_8\" \/><\/span>\n<\/p>\n<p><label>Relationship_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relationship_6\" \/><\/span>\n<\/p>\n<p><label>Form I130 021319_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319_5\" \/><\/span>\n<\/p>\n<p><label>Page 8 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-8-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-8-of-12\" \/><\/span>\n<\/p>\n<p><label>Family Name_13<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_13\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_13\" \/><\/span>\n<\/p>\n<p><label>First Name_19<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_19\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_19\" \/><\/span>\n<\/p>\n<p><label>Middle Name_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_9\" \/><\/span>\n<\/p>\n<p><label>Relationship_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relationship_7\" \/><\/span>\n<\/p>\n<p><label>I can read and understand English and I have read<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"i-can-read-and-understand-english-and-i-have-read\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"i-can-read-and-understand-english-and-i-have-read[]\" value=\"I can read and understand English and I have read\" \/><span class=\"wpcf7-list-item-label\">I can read and understand English and I have read<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>The interpreter named in Part 7 read to me every<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"the-interpreter-named-in-part-7-read-to-me-every\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"the-interpreter-named-in-part-7-read-to-me-every[]\" value=\"The interpreter named in Part 7 read to me every\" \/><span class=\"wpcf7-list-item-label\">The interpreter named in Part 7 read to me every<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>At my request the preparer named in Part 8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"at-my-request-the-preparer-named-in-part-8\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"at-my-request-the-preparer-named-in-part-8[]\" value=\"At my request the preparer named in Part 8\" \/><span class=\"wpcf7-list-item-label\">At my request the preparer named in Part 8<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_34<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_34\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_34\" \/><\/span>\n<\/p>\n<p><label>undefined_35<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_35\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_35\" \/><\/span>\n<\/p>\n<p><label>Petitioners Daytime Telephone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"petitioners-daytime-telephone-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"petitioners-daytime-telephone-number\" \/><\/span>\n<\/p>\n<p><label>Petitioners Mobile Telephone Number if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"petitioners-mobile-telephone-number-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"petitioners-mobile-telephone-number-if-any\" \/><\/span>\n<\/p>\n<p><label>Petitioners Email Address if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"petitioners-email-address-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"petitioners-email-address-if-any\" \/><\/span>\n<\/p>\n<p><label>Form I130 021319_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319_6\" \/><\/span>\n<\/p>\n<p><label>Page 9 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-9-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-9-of-12\" \/><\/span>\n<\/p>\n<p><label>Interpreters Family Name Last Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"interpreters-family-name-last-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"interpreters-family-name-last-name\" \/><\/span>\n<\/p>\n<p><label>Interpreters Given Name First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"interpreters-given-name-first-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"interpreters-given-name-first-name\" \/><\/span>\n<\/p>\n<p><label>Interpreters Business or Organization Name if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"interpreters-business-or-organization-name-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"interpreters-business-or-organization-name-if-any\" \/><\/span>\n<\/p>\n<p><label>Interpreters Mailing Address<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"interpreters-mailing-address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"interpreters-mailing-address\" \/><\/span>\n<\/p>\n<p><label>Apt_12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_12\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_12[]\" value=\"Apt_12\" \/><span class=\"wpcf7-list-item-label\">Apt_12<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Street Number_12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_12\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"street-number_12[]\" value=\"Street Number_12\" \/><span class=\"wpcf7-list-item-label\">Street Number_12<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_12\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"flr_12[]\" value=\"Flr_12\" \/><span class=\"wpcf7-list-item-label\">Flr_12<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_36<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_36\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_36\" \/><\/span>\n<\/p>\n<p><label>Ste_12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ste_12\" \/><\/span>\n<\/p>\n<p><label>City or Town_11<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_11\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_11\" \/><\/span>\n<\/p>\n<p><label>ZIP Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code\" \/><\/span>\n<\/p>\n<p><label>3e<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-3e\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-3e\" \/><\/span>\n<\/p>\n<p><label>Postal Code_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-code_5\" \/><\/span>\n<\/p>\n<p><label>Country_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_9\" \/><\/span>\n<\/p>\n<p><label>Interpreters Daytime Telephone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"interpreters-daytime-telephone-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"interpreters-daytime-telephone-number\" \/><\/span>\n<\/p>\n<p><label>Interpreters Mobile Telephone Number if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"interpreters-mobile-telephone-number-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"interpreters-mobile-telephone-number-if-any\" \/><\/span>\n<\/p>\n<p><label>Interpreters Email Address if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"interpreters-email-address-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"interpreters-email-address-if-any\" \/><\/span>\n<\/p>\n<p><label>I certify under penalty of perjury that<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"i-certify-under-penalty-of-perjury-that\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"i-certify-under-penalty-of-perjury-that\" \/><\/span>\n<\/p>\n<p><label>Preparers Family Name Last Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"preparers-family-name-last-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preparers-family-name-last-name\" \/><\/span>\n<\/p>\n<p><label>Preparers Given Name First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"preparers-given-name-first-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preparers-given-name-first-name\" \/><\/span>\n<\/p>\n<p><label>Preparers Business or Organization Name if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"preparers-business-or-organization-name-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preparers-business-or-organization-name-if-any\" \/><\/span>\n<\/p>\n<p><label>Preparers Mailing Address<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"preparers-mailing-address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preparers-mailing-address\" \/><\/span>\n<\/p>\n<p><label>Apt_13<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apt_13\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"apt_13[]\" value=\"Apt_13\" \/><span class=\"wpcf7-list-item-label\">Apt_13<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Street Number_13<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-number_13\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"street-number_13[]\" value=\"Street Number_13\" \/><span class=\"wpcf7-list-item-label\">Street Number_13<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Flr_13<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"flr_13\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"flr_13[]\" value=\"Flr_13\" \/><span class=\"wpcf7-list-item-label\">Flr_13<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>undefined_37<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"undefined_37\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"undefined_37\" \/><\/span>\n<\/p>\n<p><label>Ste_13<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ste_13\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ste_13\" \/><\/span>\n<\/p>\n<p><label>City or Town_12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-or-town_12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-or-town_12\" \/><\/span>\n<\/p>\n<p><label>ZIP Code_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code_2\" \/><\/span>\n<\/p>\n<p><label>3e_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-3e_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-3e_2\" \/><\/span>\n<\/p>\n<p><label>Postal Code_6<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code_6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-code_6\" \/><\/span>\n<\/p>\n<p><label>Country_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country_10\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country_10\" \/><\/span>\n<\/p>\n<p><label>Form I130 021319_7<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319_7\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319_7\" \/><\/span>\n<\/p>\n<p><label>Page 10 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-10-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-10-of-12\" \/><\/span>\n<\/p>\n<p><label>Preparers Daytime Telephone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"preparers-daytime-telephone-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preparers-daytime-telephone-number\" \/><\/span>\n<\/p>\n<p><label>Preparers Mobile Telephone Number if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"preparers-mobile-telephone-number-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preparers-mobile-telephone-number-if-any\" \/><\/span>\n<\/p>\n<p><label>Preparers Email Address if any<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"preparers-email-address-if-any\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preparers-email-address-if-any\" \/><\/span>\n<\/p>\n<p><label>I am not an attorney or accredited representative but<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"i-am-not-an-attorney-or-accredited-representative-but\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"i-am-not-an-attorney-or-accredited-representative-but[]\" value=\"I am not an attorney or accredited representative but\" \/><span class=\"wpcf7-list-item-label\">I am not an attorney or accredited representative but<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I am an attorney or accredited representative and my<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"i-am-an-attorney-or-accredited-representative-and-my\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"i-am-an-attorney-or-accredited-representative-and-my[]\" value=\"I am an attorney or accredited representative and my\" \/><span class=\"wpcf7-list-item-label\">I am an attorney or accredited representative and my<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>extends<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"extends\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"extends[]\" value=\"extends\" \/><span class=\"wpcf7-list-item-label\">extends<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>does not extend beyond the preparation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"does-not-extend-beyond-the-preparation\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"does-not-extend-beyond-the-preparation[]\" value=\"does not extend beyond the preparation\" \/><span class=\"wpcf7-list-item-label\">does not extend beyond the preparation<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Form I130 021319_8<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319_8\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319_8\" \/><\/span>\n<\/p>\n<p><label>Page 11 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-11-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-11-of-12\" \/><\/span>\n<\/p>\n<p><label>Part 9 Additional Information<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"part-9-additional-information\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"part-9-additional-information\" \/><\/span>\n<\/p>\n<p><label>Family Name_14<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-name_14\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name_14\" \/><\/span>\n<\/p>\n<p><label>First Name_20<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name_20\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name_20\" \/><\/span>\n<\/p>\n<p><label>Middle Name_10<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name_10\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name_10\" \/><\/span>\n<\/p>\n<p><label>ANumber if any A<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"anumber-if-any-a\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"anumber-if-any-a\" \/><\/span>\n<\/p>\n<p><label>Page Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-number\" \/><\/span>\n<\/p>\n<p><label>Part Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"part-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"part-number\" \/><\/span>\n<\/p>\n<p><label>3c Item Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"f-3c-item-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-3c-item-number\" \/><\/span>\n<\/p>\n<p><label>Page Number_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-number_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-number_2\" \/><\/span>\n<\/p>\n<p><label>Part Number_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"part-number_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"part-number_2\" \/><\/span>\n<\/p>\n<p><label>Item Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"item-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"item-number\" \/><\/span>\n<\/p>\n<p><label>Page Number_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-number_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-number_3\" \/><\/span>\n<\/p>\n<p><label>Part Number_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"part-number_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"part-number_3\" \/><\/span>\n<\/p>\n<p><label>Item Number_2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"item-number_2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"item-number_2\" \/><\/span>\n<\/p>\n<p><label>Page Number_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-number_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-number_4\" \/><\/span>\n<\/p>\n<p><label>Part Number_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"part-number_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"part-number_4\" \/><\/span>\n<\/p>\n<p><label>Item Number_3<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"item-number_3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"item-number_3\" \/><\/span>\n<\/p>\n<p><label>Page Number_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-number_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-number_5\" \/><\/span>\n<\/p>\n<p><label>Part Number_5<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"part-number_5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"part-number_5\" \/><\/span>\n<\/p>\n<p><label>Item Number_4<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"item-number_4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"item-number_4\" \/><\/span>\n<\/p>\n<p><label>Form I130 021319_9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"form-i130-021319_9\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"form-i130-021319_9\" \/><\/span>\n<\/p>\n<p><label>Page 12 of 12<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"page-12-of-12\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"page-12-of-12\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Submit\" \/>\n<\/p><p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"245\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/techory.com\/sxsw\/index.php?rest_route=\/wp\/v2\/pages\/761"}],"collection":[{"href":"https:\/\/techory.com\/sxsw\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/techory.com\/sxsw\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/techory.com\/sxsw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/techory.com\/sxsw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=761"}],"version-history":[{"count":1,"href":"https:\/\/techory.com\/sxsw\/index.php?rest_route=\/wp\/v2\/pages\/761\/revisions"}],"predecessor-version":[{"id":762,"href":"https:\/\/techory.com\/sxsw\/index.php?rest_route=\/wp\/v2\/pages\/761\/revisions\/762"}],"wp:attachment":[{"href":"https:\/\/techory.com\/sxsw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=761"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}