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20 Wade Road Latham, NY 12110 ?(518) 783-2211 www.communityresource.coop I/we hereby designate: Designation of Beneficiary for Shares Name of Account Owner(s) Name of Beneficiary (1) Social Security
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20 Wade Road in Latham is an address located in a specific location.
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Individuals or entities who are responsible for the property or business located at 20 Wade Road in Latham may be required to file.
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