ATTACHMENT_16_-_BC-1759_.PDF

Published: 01/06/2016

Description

FORM BC-1759(ef) (6-27-2012) U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration U.S. CENSUS BUREAU SPECIAL SWORN STATUS PART A – IDENTIFICATION Month Day Year 1. Print full Legal Name – Last, First, Middle (If no middle name ente...

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