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Paid:  FORMTEXT      Please Print Plainly :& Name at Birth: FORMTEXT      Father s Name: FORMTEXT      Mother s Maiden Name: FORMTEXT      Date of Birth: FORMTEXT      Place of Birth: FORMTEXT      Relation to Registrant: FORMTEXT      Purpose of this request: FORMTEXT      Name:First:  FORMTEXT       MI:  FORMTEXT       Last:  FORMTEXT      Address: Number:  FORMTEXT       PO Box  FORMTEXT       City:  FORMTEXT       State:  FORMTEXT    Zip:  FORMTEXT      Telephone #: FORMTEXT    - FORMTEXT    - FORMTEXT      Signature of Requestor: Notice: Any person shall be guilty of a Class B felony if he/she willfully and knowingly makes any false statement in an application for cer    . 0 2 < > Z \ p r t ~ vdvXjhCJUaJ#jhqTh^CJUaJjhqThzRHCJUaJhqThCJaJhzRHCJOJQJ^JaJ hqTheCJOJQJ^JaJhqTheCJaJjh^Ujth^UjhzRHUmHnHujh^UjhzRHUhzRHhqThzRHCJaJ"6X @ ojjgdaIzkd\$$Ifl0,"  t0644 la $IfgdaI $$Ifa$gdzRH ^77@8   0 2 4 > @ p r      & ( \ ^ r t v |j#jhqTh^CJUaJ#jhqTh^CJUaJ(jhqThzRHCJUaJmHnHu#jhqTh^CJUaJ#jhqTh^CJUaJjhCJUaJ#jhqTh^CJUaJhqThzRHCJaJjhqThzRHCJUaJ'  B {zkdY$$Ifl0@ ,"  t0644 la $IfgdaIB D p {{ $IfgdaIzkdV$$Ifl0@ ,"  t0644 la {{ $IfgdaIzkdS$$Ifl0@ ,"  t0644 la  * {{ $IfgdaIzkdP$$Ifl0@ ,"  t0644 la* , \ {{ $IfgdaIzkdM$$Ifl0@ ,"  t0644 la {{ $IfgdaIzkdJ$$Ifl0@ ,"  t0644 la    " $ P R f h j t v     0 2 F H J T V ޾޾޾޾޾޾޾޾v޾޾d#j3 hqTh^CJUaJ#j hqTh^CJUaJ#j hqTh^CJUaJ#jH hqTh^CJUaJ#jhqTh^CJUaJhqThzRHCJaJ(jhqThzRHCJUaJmHnHujhqThzRHCJUaJ#jhqTh^CJUaJ' {{ $IfgdaIzkdI$$Ifl0@ ,"  t0644 la X Z {{{{{ $IfgdaIzkd4 $$Ifl0@ ,"  t0644 laV X Z h j ~ <>RTV\^`bv۴|j۴X۴#j hqTh^CJUaJ#j hqTh^CJUaJ"jhwaCJUaJmHnHu#j hwah^CJUaJhwaCJaJjhwaCJUaJ(jhqThzRHCJUaJmHnHu#j hqTh^CJUaJjhqThzRHCJUaJhqTheCJaJhqThzRHCJaJ! "<{{ $IfgdaIzkd $$Ifl0@ ,"  t0644 lavxzR4T4V4X4Z4445D5޾޾޾~v~t~l~^~V~hm^CJaJhwahwa5>*CJaJhqTCJaJUhAyCJaJhwaCJaJhqThqTCJaJhwahqT5CJaJhzRHhqTheCJaJ#jhqTh^CJUaJhqThzRHCJaJ(jhqThzRHCJUaJmHnHujhqThzRHCJUaJ#j hqTh^CJUaJ {{{{ $IfgdaIzkd$$Ifl0@ ,"  t0644 laX4Z4466^7b7d7h7j7wrrrppppgdwa$a$gdwagdaIzkd$$Ifl0@ ,"  t0644 la tified copy of a vital record. (RSA 126:24) New Hampshire Fees RSA 126:13 & 15 The fee for each search is $12.00. The fee shall be charged whether or not the record is located and includes one certified copy of the record, if located. Additional certified copies issued at the same time as the initial copy are $8.00 each. There is a $1.00 lamination fee on birth cards. Also enclose a photocopy of your Photo Identification.      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