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Directory Results for Images for what is tiOCA Official No.: 960AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA This form has been approved by the New York State Department of Health Patient NameDate of Birth**Social Security NumberPatient Address* to Images for what is tiOFFER TO PURCHASE REAL ESTATE BE IT KNOWN, the undersignedof(Buyer) offers to purchase fromof(Owner), real estate known as City/Town of,, County of, State of, said property more particularly described as: and containingsquare fee

Images for what is tiOCA Official No.: 960AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA This form has been approved by the New York State Department of Health Patient NameDate of Birth**Social Security NumberPatient Address*
Images for what is tiOFFER TO PURCHASE REAL ESTATE BE IT KNOWN, the undersignedof(Buyer) offers to purchase fromof(Owner), real estate known as City/Town of,, County of, State of, said property more particularly described as: and containingsquare fee