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Get Va 032-02-0151 2009

Tity to the Notary Public prior to signing this in his/her presence. ______________________________________ _____________________________________________ Signature of Person to Be Searched Parents’ Signature (Needed if child is 17 years old or younger) Part IV: CERTIFICATE OF ACKNOWLEDGEMENT OF INDIVIDUAL City/County of ________________________________________________ Commonwealth/State of Acknowledged before me this __________________________________________ _______day of ____________.

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