7/2/2025
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I certify that the information I provided is true and correct to the best of my knowledge. I understand that copying and other direct costs (ink, toner, paper, media, postage, etc.) may apply and that records will not be released until the estimated fee deposit is received.
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By signing this document electronically, which is legally equivalent to a handwritten signature, I fully acknowledge that my electronic signature reflects my intent to validate and endorse the contents of this document; furthermore, I confirm that I have the necessary ability and authorization to sign electronically and am doing so knowingly, with the full intent of establishing a binding and authenticated record
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