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Get MI DoT 3799 2001

Your new location? Yes No* B. Do you have dependents? Yes No If yes, will they move to your new location? Yes No* *If you answered no to either of these questions, attach an explanation. List the name(s) and location(s) (city, state) of institutions where you have savings and checking accounts or safe deposit boxs. Attach additional sheets if necessary. List the name(s) and location(s) (city, state) of any organizations that you belong to. PART 5: STATEMENT TO DETERMINE STATE OF DOMI.

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