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FORM I DOE 7/05 CUSTODIAL STATEMENT AND AGREEMENT DIVORCE SEPARATION OR ABANDONMENT This agreement is prepared by the State Superintendent of Public Instruction as required by Indiana Code 20-26-11-3. Form I is to be signed by both parents except where the student has been abandoned by the custodial parent. Student Information Name last street Last school corporation attended Current school corporation first state mi zip code city Indicate the re...

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