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DEPARTMENT OF PUBLIC SAFETY / P.O. BOX 1628 / SANTA FE, NM 875041628 ATTN: RECORDS $15.00 PER RECORD CHECKAUTHORIZATION FOR RELEASE OF INFORMATION I, NAME (MUST BE PRINTEDLEGIBLY) (SSN#) (DOB) PURSUANT
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Box 1628 Santa Fe is a specific box on a form or document that is related to tax reporting.
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