Translated from German to English - www.onlinedoctranslator.

com

date stamp official endorsements

registration
New flat Previous residence
community code community code
the new apartment is sole Main- Next- The (last) previous residence (in sole Main- Next-
apartment flat flat Germany) was apartment flat flat
day of move-in ZIP code, municipality, district day of departure ZIP code, municipality/district/country

Street, house number, additions Street, house number, additions

State if moving from abroad

Will the previous apartment be retained? no Yes, as main residence secondary apartment

Do the people listed below have other apartments in Germany? no Yes If so, see attached sheet!

Family name,
1 possibly doctoral degree

passport name

first names
(underline call name)

Birth Name
gender
Day place country of birth
religious society
nationalities
Order stage name

Family name, Family member is:

2 possibly doctoral degree

passport name

first names
(underline call name)

Birth Name
gender
Day place country of birth
religious society
nationalities
Order stage name
Marital status(1or 1 and 2) Marriage / civil partnership details (date, place, country AZ)

Documents:
Types of documents: PA = identity cards, RP = passports, KP = children's passport
Name first Name:
kind issuing authority serial number date Date of Expiry

Name first Name:

kind issuing authority serial number date Date of Expiry

Date, signature of one of the reporters or a person with power of attorney

ANM blank -HSH