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STATE OF NEW JERSEY DIVISION OF STATE POLICE CASE FILE NUMBER APPLICATION FOR PRIVATE DETECTIVE LICENSE NAME Print Last First Home Address Middle Street or R.D. THE RELEASE WILL REMAIN IN EFFECT DURING THE INITIAL LICENSE PERIOD AND SUBSEQUENT LICENSE RENEWAL PERIODS. A PHOTOSTATIC COPY OF THIS AUTHORIZATION WILL BE CONSIDERED AS EFFECTIVE AND VALID AS THE ORIGINAL. SIGNATURE MUST BE NOTARIZED NAMED PERSON MAKING APPLICATION FOR A NEW JERSEY PRI.

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