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Bmd Declaration 2018-2023
Declarant):
1. I make the statements in this declaration based on my personal knowledge or on the contents of the documents identified in item 5.
(“Personal knowledge” of a fact is knowledge that is not gained from another person's statements to you about that fact.)
2. a. I am at least 18 years of age.
b. I reside at (street address and city):
County:
State:
3. (Name of deceased person):
died at
a.m.
approximately (time):
p.m.
at the following place:
on (date):
a. City, town,...
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