TABLE OF CHANGES – FORM
Form G-1041, Genealogy Index Search Request
OMB Number: 1615-0096
Date: 10/01/2016
Reason for Revision: Updates are required for Form G-1041 due to a Fee Increase.
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Current Page Number and Section |
Current Text |
Proposed Text |
Page 1, Information About You (Requestor) |
Requestor’s Certification
By my signature, I consent to pay all costs incurred for search, duplication, and review of documents up to $20. (See Form G-1041 Instructions for more information).
6.a. Requestor’s Signature
6.b. Date of Signature (mm/dd/yyyy)
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Requestor’s Certification
By my signature, I consent to pay all costs incurred for search, duplication, and review of documents up to $65. (See Form G-1041 Instructions for more information).
6.a. Requestor’s Signature
6.b. Date of Signature (mm/dd/yyyy)
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | USCIS User |
| File Modified | 0000-00-00 |
| File Created | 2021-01-23 |