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or Renunciation  Form

or Renunciation Form

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To make a separate written explanation of my reasons for renouncing/relinquishing my United States nationality. United States taxation consequences I understand that I must contact the United States Internal Revenue Service. Further I understand that if my renunciation of United States nationality is determined by the United States Attorney General to be motivated by tax avoidance purposes I will be found excludable from the United States under Immigration and Nationality Act as amended....
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