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Affidavit of Safe at Home Address Confidentiality Program Director With Respect to Elector Request for Confidential Listing STATE OF WISCONSIN SS. County of notarization To: Name of municipal clerk

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How to fill out affidavit of safe at

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Provide your personal information, such as name, address, and contact details, accurately.

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Include the date and location where the affidavit is being filled out.

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Provide a detailed account of the items that you wish to declare as safe.

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Affirm the accuracy and truthfulness of the information provided by signing the affidavit.

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Submit the completed affidavit to the designated authority or as instructed.

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