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O. Box 816 Trenton NJ 08625-0816 609 633-6224 AST Re-Certification Application AST Number NAME DATE OF BIRTH Last First MI Month/Day/Year Social Security Number Home Address Information Street City County State Zip Code TELEPHONE Apt E-MAIL Business Address Submit this page completed on both sides accompanied by two passport size photos a photocopy of your current AST Card or other form of photo ID and a check or money order made payable to the T.

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