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A child grandparent grandchild sibling spouse or domestic partner of registrant. An attorney representing the registrant or the registrant s estate or any person or agency empowered by statute or appointed by a court to act on behalf of the registrant or the registrant s estate. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Partner s Attorney-in-Fact Trustee Subscribing Witness Guardian/Conservator Other SIGNER...
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