Form N-400, Application for Naturalization Completed Form Examples and Samples
View free, filled-out examples of Form N-400, Application for Naturalization. Our detailed samples cover common scenarios, such as the 5-year permanent resident rule, helping you accurately complete your U.S. citizenship application. Review our sample N-400 to avoid errors and file with confidence.
Form N-400 Example – 5-Year Lawful Permanent Resident
How this form was filled:
This sample Form N-400 is filled out for an individual applying for U.S. citizenship based on being a Lawful Permanent Resident (Green Card holder) for at least five years. The example demonstrates how to correctly provide biographic information, residence history, employment history, and details about time spent outside the United States to meet the eligibility requirements.
Information used to fill out the document:
- Applicant Full Name: Elena Maria Rodriguez
- Alien Registration Number (A-Number): A123-456-789
- Date of Birth: 06/15/1988
- Country of Birth: Mexico
- Date Became Permanent Resident: 03/10/2020
- Basis for Eligibility: At least 5 years as a Lawful Permanent Resident
- Current Physical Address: 456 Oak Avenue, Denver, CO, 80202
- 5-Year Residence History: One address provided for the full 5-year period
- 5-Year Employment History: Software Developer at Tech Solutions Inc. (2020-Present)
- Marital Status: Married to a U.S. Citizen
- Total Trips Outside the U.S. (last 5 years): 2
- Total Days Outside the U.S. (last 5 years): 24
- Application Signature Date: 04/20/2026
What this filled form sample shows:
- Correctly stated basis for eligibility (5 years as a Lawful Permanent Resident).
- Accurate completion of biographic information, including A-Number and date of permanent residence.
- A complete 5-year history of physical addresses and employment with no gaps.
- Detailed record of all trips outside the United States, ensuring continuous residence requirements are met.
- Properly answered Part 12 questions regarding affiliations, history, and good moral character.
Form specifications and details:
| Form Name: | Form N-400, Application for Naturalization |
| Use Case: | Individual applying for citizenship after 5 years as a Lawful Permanent Resident. |
| Eligibility Category: | Section 316(a) of the INA |
Created: February 10, 2026 11:47 PM
