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AGENCY PROFILE This form was submitted at 5:15 P.M. on October 20th, 2023 . You cannot unlock your Agency Profile form because all of your proposals are submitted.AGENCY DETAILS Agency Name Jamestown

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1. Obtain a copy of the 2929 19th street form.
2. Read the instructions provided at the top of the form carefully.
3. Fill in your personal information, including your name, address, and contact details.
4. Provide any required identification numbers, such as Social Security or tax identification numbers, if applicable.
5. Complete the sections regarding your property details, if needed, ensuring accuracy in addresses and descriptions.
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7. Sign and date the form where indicated.
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2. Local government authorities needing to track property and resident information.
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