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Get UCA-RE 2010-2024

Issue Date E-mail Address l Married Separated (including registered domestic partner or civil union) l Dependents (not listed by Co-Applicant) No. Ages Unmarried l (including single, divorced, widowed) Present Address l Own l l Own l Separated (including registered domestic partner or civil union) Dependents (not listed by Applicant) No. Ages Unmarried (including single, divorced, widowed) Rent l No. Yrs. Mailing Address, if different from Present Address Former Addre.

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