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Get APPLICATION FOR CERTIFICATE OF RESIDENCE - Sunysullivan

MUST BE SUBMITTED WITH APPLICATION STATE OF NEW YORK COUNTY OF WESTCHESTER Citizen of USA Yes No **If No Attach Copy of Residency Card I, Social Security # hereby swear that I reside at NAME STREET ADDRESS in the City, Village, Town of County of Westchester, State of New York; NAME OF TOWN / ZIP CODE IF LESS THAN ONE YEAR AT THE ABOVE ADDRESS COMPLETE THE FOLLOWING Address From To that I now am, and have been for a period of at least one year immediately prior to the date of this.

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