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Street Address: ___ City/State/Zip: ___ Date: ___ To: ___ Street Address: ___ Cite/State/Zip: ___ RE: Unit # ___ It has come to my attention that you have failed to comply with the terms of your agreement
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{street_address: '123 Main St.', city: 'Anytown', state: 'NY'}
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{required_parties: 'Businesses operating at the given address'}
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{steps_to_fill_out: '1. Enter the street address 2. Enter the city 3. Enter the state'}
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{purpose: 'To accurately report the physical location of a business'}
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{required_information: 'Street address, city, and state'}
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