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Joint Photographic Experts Group Image | 2014-10-30 | 391KB | 1680x2176

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OCR: Rev 10/31/97 Real Estate (Office Use Only) APPLICATION FOR CONFIDENTIAL LISTING Name (as shown on tax rolls) Address City State Real Estate Phone I hereby certify that Iam emploved by the following agency and that my status Active former law enforcement personnel whose duties include the investigation of abuse neglect exp loitation fraud. theft o other criminal activities Correctional officer Correctional probation officer Personnel of Department of Revenue 10 local government whose respon sibilities include revenue collection and enforcement or child support enforcement Firefighter certified in accordance with Sec 633 35 Spouse or child of such firefighter Judge spouse or child of "judge of court of record Current or former state attorney or assistant state attorney Current or former stat ...