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State of CaliforniaDepartment of Alcoholic Beverage Control Gavin Newsom, Governor STATEMENT RE: RESIDENCES (Rule 61.4) Applicant: Please complete left side of form, then sign. List addresses of all
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How to fill out statement re residences

01
To fill out a statement re residences, follow these steps:
02
Start by writing your full name, address, and contact information at the top of the form.
03
Indicate whether you are the owner or tenant of the residence by checking the appropriate box.
04
Provide the details of your current residence, including the address, type of dwelling (house, apartment, etc.), and the duration of your stay.
05
If you have previously resided at other addresses, list them in chronological order, along with the dates of your stay.
06
Include any additional relevant information, such as the reason for changing residences or any special circumstances.
07
Sign and date the statement at the bottom to authenticate it.
08
Remember to review the completed form for accuracy before submitting it.

Who needs statement re residences?

01
Various individuals may need a statement re residences, including but not limited to:
02
- Individuals undergoing a background check for employment purposes
03
- Applicants for immigration or visa processes
04
- Students applying for educational programs or scholarships
05
- Applicants for government assistance or benefits
06
- Those involved in legal proceedings where proof of residency is required
07
The specific requirements for a statement re residences may vary depending on the purpose and jurisdiction. It is advisable to consult the relevant authorities or organizations for precise guidelines.
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Statement re residences is a document where individuals declare their current living arrangements.
All individuals who have changed residences within a specific period of time are required to file statement re residences.
Statement re residences can be filled out by providing details of the new residence address, moving date, and any other relevant information requested.
The purpose of statement re residences is to keep official records updated with accurate information about individuals' current living situations.
Information such as new address, moving date, contact details, and any other relevant information requested by the authorities.
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