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CTOA will accept written revocations of this authorization via Certified U.S. mail 7718 Wood Hollow 103 Austin TX 78731 Facsimile at this number 512-279-6750 ALL revocations must be sent to Jim Spaulding and are not effective until received by him/her. Purpose s for disclosure of the information Right to revocation. I have a right to revoke this authorization in writing except to the extent that action has been taken in reliance on this authorization. In order for the revocation of this...
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