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Directions: Obtain signatures of three (3) references, listing name, address, occupation and length of time they have known you. One reference should be a CPA and two people other than CPA s, all of whom have known you for the past three (3) years, and are residents of Pennsylvania. Relatives are not accepted. If any of the three references you provide do not meet one of more of the requirements, please attach a separate sheet with a brief explanation of the exception. REFERE.

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