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Click ‘Get Form’ to open it in the editor.
Begin with Section 1 if your mailing and physical addresses are the same. Fill in your Tribal Citizenship Number, Social Security Number, full name, mailing address, city, state, county of residence, zip code, township, phone number, email address, and indicate the head of household.
If your mailing and physical addresses differ, complete both Section 1 and Section 2. In Section 2, provide your physical address details including city, state, county of residence, zip code, and township.
Ensure you sign the form where indicated. If notarization is required due to differing addresses, have a notary public acknowledge your signature.
Finally, review all entries for accuracy before submitting the form through our platform.
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