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Get 976 Lenzen Avenue Suite 1300 San Jose Ca 95126 Form

Tricted certified copy of the birth or death record of the following individual: Name of Person Listed on Certificate Relationship to Person Listed on Certificate Subscribed to this day of , 2013, at , . (Day) (Month) (City) (State) (Signature) STOP! You must sign the sworn statement above only in the presence of a Notary Public, and have it notarized using the Certificate.

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