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Get Pa Ls-1 2014

PREPARER S NAME PREPARER S PHONE I hereby certify, swear and aver that all statements herein are true and correct to the best of my knowledge and belief, being duly apprised of my duty under the law to submit honest and complete information or be subject to the penalties provided by law. Make name/address corrections above OMISSION OF THE ABOVE APPLICABLE INFORMATION CONSTITUTES AN I.

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