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AUTHORIZATION TO RELEASE INFORMATION, Last NameFirst NameMiddle Recurrent Addresses Lived Headdresses for the Past Seven Years: (include street, city, state, zip code)Dates of Residence:Date of Birth
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Current addressdates lived here refers to the address where the individual currently resides or has lived in the past.
Individuals who are requested to provide information on their current addressdates lived here are required to file this information.
To fill out current addressdates lived here, individuals should provide accurate information about their current address and any previous addresses they have lived in.
The purpose of current addressdates lived here is to verify an individual's residency history and ensure accurate record-keeping.
Information such as the full address, dates of residence, and any relevant details about the living situation should be reported on current addressdates lived here.
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