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2 Notarized sworn statement if applicable 3 25 fe...
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04 14 New York State Department of State Division...
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servant Date of Birth for children Physically han...
servant Date of Birth for children Physically han...
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issued to me on date in terms of the provisions...
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Verification Certificate 7KLV57347LV57347WR57347F...
56573475736457366573725736157372573725736357355573...
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