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Get CA Form AD 521 2011-2021

D in within last five years. IV. CHILDREN OF APPLICANT(S) MINOR CHILDREN OF APPLICANT(S) Full Name Date of Birth Do you Financially Support Child Yes/No Gender Lives in Home Yes/No Related to: Adopted Yes/No ■ Applicant 1 ■ Applicant 2 ■ Applicant 1 ■ Applicant 2 ■ Applicant 1 ■ Applicant 2 ■ Applicant 1 ■ Applicant 2 ■ Applicant 1 ■ Applicant 2 ADULT CHILDREN OF APPLICANT(S) Full Name Date of Birth Lives in Gender Home Yes/No Do you Financially Support.

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