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2012FORM 1STATEMENT Please print or type your name, mailing address, agency name, and position below: I FINANCIAL INTERESTS in OFFICE USE ONLY:LAST NAME FIRST NAME MIDDLE NAME (7 0. P. 1MAILING ADDRESS:I6

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What is address agency name and?

Address agency name and is the name and address of the agency to be reported.

Who is required to file address agency name and?

The agency or organization responsible for the address must file the address agency name and.

How to fill out address agency name and?

Address agency name and can be filled out online or submitted through mail.

What is the purpose of address agency name and?

The purpose of address agency name and is to ensure that the correct agency name and address are on file for communication purposes.

What information must be reported on address agency name and?

The information to be reported includes the full name of the agency and its complete address.

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