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FORM 1Please print or type your name, mailing address, agency name, and position below:STATEMENT OF1 FINANCIAL INTERESTSLAlT NAME FIRST NAME MIDDLE NAME :I ctr C.c. Ylcif1f 0), NCE Q) .2010 FOR OFFICE
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To fill out lalt name -- first, follow these steps:
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Start by entering the person's first name.
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Then, enter their middle name (if applicable).
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Next, enter their last name.
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If they have any suffixes like Jr. or Sr., enter that as well.
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Finally, review the information you entered and make sure it is correct before submitting.

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The legal name of an individual or organization.
Individuals or organizations who need to update their legal name.
You can fill out the legal name change form provided by the appropriate government agency.
To officially change the legal name for identification and legal purposes.
The current legal name and the new legal name that the individual or organization wants to change to.
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