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AFFIDAVIT AND APPLICATION FOR CERTIFICATE OF RESIDENCY Pursuant to Sections *6301 & **6305 of the Education Law Social Security No.___________________ STATE OF NEW YORK, COUNTY OF
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Document Date: 2012-05-14 13:51:18


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City

YORK / /

IndustryTerm

local finance law / /

Organization

SPACE FOR USE OF CHIEF FISCAL OFFICE OF COUNTY / Chief Fiscal office of the County / intermediate school district / /

Position

chief fiscal officer / /

ProvinceOrState

THIS SPACE FOR USE OF CHIEF FISCAL OFFICE OF COUNTY / New / Semester______________Year__________ / /

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