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Fillable U.S. DOD Form dod-va-21-4718a

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U.S. DOD Form dod-va-21-4718a OMB APPROVED NO. 2900-0017 RESPONDENT BURDEN: 3 MINUTES CERTIFICATE OF BALANCE ON DEPOSIT AND AUTHORIZATION TO DISCLOSE FINANCIAL RECORDS (Pursuant to Title 38, U.S.C., Chapter 55 and Title 12, U.S.C., Chapter 35) NOTE: PLEASE READ THE INSTRUCTIONS ON THE REVERSE BEFORE COMPLETING THE FORM. I. CERTIFICATE - TO BE COMPLETED BY THE FINANCIAL INSTITUTION ONLY PRIVACY ACT...
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