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r .,. <br />INSTRUCTIONS <br />PURPOSE OF FORAA. T2tis form is ie #e used 6u the '+tbrasi:a <br />.cuurrt of P.evtaue Pct the garg•=se of r:utifyiag first apprapriate <br />" county authnrit~s teat the Ne#r~ca Notice of Stasc Tar I Mora on file <br />itt their office is being discharged, partially released ar subard~atad. <br /> <br /> <br />\ <br />- ~_ <br />-.a <br />c <br />o <br /> <br />~ ` <br />i <br /> <br />r - <br /> . . <br />~ . - <br />_ 3„ n <br />~ <br />',,A n ~, < m <br />.. <br />_y ~ c7 t~s o <br />~. ~ ~ <br />` ~ <br />+~ _ '~T' ~~ ~ w~'""' _p~ M <br /> <br /> <br />3•\ <br />a' ~ <br />c <br />~ A3 c <br />~ <br /> <br />~„ ~ ~ <br />y y <br /> <br /> <br /> <br /> <br />.: , __ <br />_ <br />_ <br />- _ <br />.~ <br /> ~~ <br />~~ i ~ <br />'~ <br /> J <br />i.._ <br />