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Write down the required particulars in State, of County, City, of to, wit, Subscribed, and, sworn, to, before, me, on MM, DD, YYYY Signature, of, Individual, Making, Request Signature, of, Notary, Public My, commission, expires My, registration, is Mail, Reply, To NAME, ATTENTION, ADDRESS, CITY FEES, FOR, SERVICE STATE, ZIP, CODE and CHARGE, CARD part.

Write down all data you are required in the box Account, Number Expiration, Signature, of, Card, holder PO, Box Richmond, Virginia AT, TN, NEW, FORM No, Criminal, Record, Name, Search, Only No, Criminal, Record, Fingerprint, Search No, Sex, Offender, Registration, Record Criminal, Record, Attached Purpose, code C, NO Date, and By, CC, RE

Please identify the rights and obligations of the sides within the CRIMINAL, HISTORY, RECORD per, search, of, Criminal, History, Name, File COMPLETE, SEX, OFFENDER, REGISTRY and VIOLENT, SEX, OFFENDERS field.

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