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Month Cannot Exceed 12 Months From To Day I certify under penalty of perjury that the above statements are true and accurate to the best of my knowledge. Signature Date NOTE This affidavit must be completed annually. Please return this form to the County Clerk in the county of your permanent residence. Month Cannot Exceed 12 Months From To Day I certify under penalty of perjury that the above statements are true and accurate to the best of my knowledge. Signature Date NOTE This affidavit must b ...

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