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OCFS4659 (Rev. 6/2014)NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES WAIVER FOR SUBMISSION OF A DUPLICATE FINGERPRINT CARD Please Print Clearly or Type Information 1. Last Name 2. First Name
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Citystate address is the official address of an individual or business within a specific city and state.
Any individual or business that operates within a city and state is required to file a citystate address.
To fill out a citystate address, you will need to provide the complete physical address including the street address, city, and state.
The purpose of citystate address is to provide a location where individuals or businesses can be reached or located within a specific city and state.
The information that must be reported on a citystate address includes the street address, city, and state of the individual or business.
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