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Download Form (pdf, 31. Witness or attest signature or execution of deeds and other written instruments;.Take acknowledgments;. FDIC and Interagency Statements provide guidance to insured institutions, depositors, and the general public. If you believe that this guidance document imposes additional requirements or penalties on regulated parties, you may request a review of the document. You must also attach a proposed order. How do I apply for clemency? Only the President can grant clemency for D.C. Code offenses. Send the enrollee the Part D LEP Reconsideration Notice, "Your Right to Ask Medicare to. Unauthorized disclosure may result in prosecution to the full extent of the law. v.