![19435319-3-rev1-exhibit-35-sample-citizenship-declaration-instructions-complete-this-declaration-for-each-member-of-the-household-listed-on-the-family-summary-sheet-last-name-first-name-relationship-to-head-of-household-sex-date-of-birth-k](https://cdn.cocodoc.com/cocodoc-form/png/19435319--3-REV1-Exhibit-35-Sample-Citizenship-Declaration-INSTRUCTIONS-Complete-this-Declaration-for-each-member-of-the-household-listed-on-the-Family-Summary-Sheet-LAST-NAME-FIRST-NAME-RELATIONSHIP-TO-HEAD-OF-HOUSEHOLD-SEX-DATE-OF-BIRTH-k--x-01.png)
3 REV1 Exhibit 35: **Sample Citizenship Declaration ** INSTRUCTIONS: Complete this Declaration for each member of the household listed on the Family Summary Sheet LAST NAME FIRST NAME RELATIONSHIP TO HEAD OF HOUSEHOLD SEX DATE OF BIRTH - k
4350.3 rev-1 exhibit 3-5: **sample citizenship declaration ** instructions: complete this declaration for each member of the household listed on the family summary sheet last name first name relationship to head of household sex date of birth...
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