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Get TWC Identity Theft Affidavit

lived at an address other than where and when the fraud took place. The last page of the documentation is an affidavit and must be notarized. Personal Information Name: ______________________________________ Date of Birth: ________/______/_____ Address: ____________________________________ Daytime Phone: (____) ______________ City: _______________ State: ______ Zip: _________ Evening Phone: (____) ______________ Social Security Number: ________________________ Email Address: __________________.

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