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Information current to:
Personal data
Name
Address
Home Telephone
Business TelephoneDate of birth
Place of birth
Birth Certificate #
Located
Citizenship
Social Security #
Other Gov’t. #
(Explain)Name of spouse
Address
Date of birth
Place of birth
Birth Certificate #
Location
Citizenship
Social Security #
Other Gov’t .#
(Explain)Date of marriage
Place of marriage
Marriage license is
locatedNames/Birth Dates - Children
1.
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