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Get Personal Checks Form

N WI 53701-1438 Visit our website at: http://www.countyofdane.com/regdeeds/default.aspx or call 608-266-4142 for more information. PENALTIES: Any person who willfully and knowingly makes false application for a birth certificate, or obtains a birth certificate for fraudulent purposes, is guilty of a Class I felony (a fine of not more than $10,000 or imprisonment of not more than 3 years and 6 months, or both, per Ch. 69.24(1), Wis. Stats.) COMPLETE ALL SECTIONS--VALID ID REQUIRED TO PICK UP IN.

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