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SPACE ABOVE RESERVED FOR RECORDING DATA Return to: Waksman, No wack, Curry & Wilcox, P.C. One Alliance Center, 4th Floor 3500 Leno Road Atlanta, Georgia 30326 Attention: Mindy C. Waits man STATE OF

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Point 4: Clearly state the purpose of the amendment in the designated section. Explain what information needs to be changed, corrected, or updated. Provide any supporting documents or evidence, if necessary, to substantiate the amendment request.

Point 5: If applicable, describe the reason behind the need for the amendment. This could include mistakes made while filling out the original form, changes in personal circumstances, or any relevant information that justifies the amendment.

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Point 7: Sign and date the bamendmentb form as required. This verifies your consent and agreement to the requested amendment.

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