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Applicant Date Registration Certificate Issued by Colquitt County Official DATE 125. 00 FEE PAID AFFIDAVIT OF VERIFICATION STATUS PUBLIC BENEFIT APPLICATION By executing this affidavit under oath as an applicant for please check applicable statement employment with Colquitt County Georgia business/occupation license certificate issued by Colquitt County Georgia contract for services with Colquitt County Georgia miscellaneous licenses please specify or other public benefit as referenced in O....

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