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Get MA Voluntary Statement

Ce: __________________ D.O.B.: _________________ SS#: _______________________________ Phone: _______________________ Address: _________________________________________________________ City/Town: _________________________ State: _____ Zip: _________________ Statement given to: ____________________________________________________ The above named officer has duly warned me that I have the following rights: That I have the right to remain silent and not make any statement at all; that any statement.

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