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OMB Controls NO.: 10060005Districts must complete the District Name and Date Received boxes. FORM 72181 2014CERTIFICATION OF ENTITY\'S LANDHOLDINGSDistrict Name:(Discretionary Provisions) DATE RECEIVED:(713) BUREAU
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All individuals or entities who meet the criteria set forth by the governing body.
Fill out the form electronically or manually using the guidelines provided.
The purpose of do not use this is to accurately report information to the relevant authorities.
Information such as name, address, and specific details related to the situation.
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