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Get 5045 Form 2016-2024

My, Navy, Air Force, Marine Corps, Coast Guard, the Commissioned Corps of the National Oceanic and Atmospheric Administration, and the Commissioned Corps of the Public Health Service. THE INFORMATION YOU ARE PROVIDING IS SUBJECT TO DEPARTMENT OF DEFENSE VERIFICATION AND DMV AUDIT. EXECUTED ON (DATE) AT (CITY) STATE I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. PRINT TRUE FULL NAME MAILING ADDRESS SIGNATURE .

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