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Get Three Affiliated Tribes Disbursement Application

I BAL MEMBERS UNDER AGE 14 AS OF 3-31-14 I, , hereby verify that I am the custodial parent/legal guardian of the minor listed below, who is in my custody and care. (If you are not the minor s biological parent, please provide legal documents, such as adoption or guardianship papers, indicating that you are the adoptive parent or legal guardian with physical custody of said minor. If you are not the minor s parent with whom the minor resides full-time or you are in a shared parenting relatio.

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