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ADOPTION APPLICATION Revised 07/2015 Date Time THIS AREA IS FOR OFFICE USE ONLY Name Date of Birth Optional: Put a coowners personal information on second application and staple to this one. Street

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This area is for reporting financial information.

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All individuals or entities that have financial transactions within the specified timeframe.

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This area should be filled out accurately and completely with all relevant financial details.

What is the purpose of this area is for?

The purpose of this area is to provide a snapshot of the financial activities during the specified period.

What information must be reported on this area is for?

All financial transactions, income, expenses, assets, and liabilities must be reported in this area.

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