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C. G.A. 50-18-70 et seq. A photocopy of this release form will be as valid as the original form even though the photocopy does not contain my original signature. 00 nor more than 5 000. 00 or both to knowingly falsify any information on this statement. Applicant s Printed Name Applicant s Signature Date E-mail completed application with all attachments to mvinspector. Application dor. ga.gov Check or Money Order 100. 00 Registration Fee will be required upon contract offer. I understand that...

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