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Ccdr0604a Form 2011
________________________________
_____________________________________________________
Respondent
DISCLOSURE STATEMENT
(Pursuant to Rule 13.3.1)
STATE OF ________________________
COUNTY OF ______________________
ss:
Petitioner/Respondent, ______________________________________, being duly sworn, deposes and says that the following is
an accurate statement as of __________________________, _________, of my net worth (assets of whatsoever kind and nature and
wherever situated minus...
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