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OFFICE USE ONLY ULSTER COUNTY APPLICATION AND AFFIDAVIT (OR AFFIRMATION) FOR CERTIFICATE OF RESIDENCE APPLICATION (1) NAME: (2) DATE OF BIRTH : PRINT LEGIBLE (3) NYS LICENSE ISSUE DATE: RPS VOTER
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Office use only nys is a form designated for internal use within a company or organization in the state of New York.
Only employees or staff members with authorized access to the information on the form are required to file office use only nys.
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