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2. 
4. TODAYS DATE:*
   TODAYS DATE:
5. COMPLAINT #*
7. Requested Property Release
9. Item/Items:*
11. Descripion:*
15. Name of person/entity requesting property:*
17. Phone:*
19. Owner of Property:*
20. Date of Birth:*
    Date of Birth:
21. Phone Number:*
23. Signature:*

     I hereby certify the truthfulness of the information provided and understand that c typing my signature above constitutes a binding signature.

    
    

24. Date:*
    Date:
28. For Office Use Only
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

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