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FINANCIAL DISCLOSURE STATEMENT ELECTED OFFICIALS AND CANDIDATESReporting Period: January 1 through December 31, 2012PART I. IDENTIFYING INFORMATION FIRST NAME INITIAL LAST NAME CURRENT ADDRESS (WHERE
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The current address where you currently reside.
Individuals who have recently moved or changed their address.
You can fill out your current address by providing your full street address, city, state, and zip code.
The purpose of providing your current address is to ensure that important documents and information can reach you.
You must report your full street address, city, state, and zip code.
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