I had let my temporary residency expire several years ago. It was probably expired for 5-6 years. I had used Guzman for my initial residency and for a prior renewal, so went back to them to find out if I needed to start over or if my existing residency could be brought up to date. They said we could bring my existing residency up to date, but there would be penalties to pay, They handled the renewal with the penalties, but what I was also required to do was to go back to Santo Domingo and redo the medical tests before I could proceed. It all went smoothly, I think it took a few months. I don't how much the penalties were, but I think they were substantial.