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C AFFIDAVITThe purposeof this form is to saffsfythe hgal residency law-Thisform test set up by Michigan is to be completed dnd signedby the bgal parentor guardianwhen he parenUguardian and child are livi,ngwith anotherpersonAfrlD cannotproduceproof of residence^Thb is not a hornelass situation. OF: -* . STATE COUNTY OF:_ ,., _ ) ss. ) )
I desisqF6..i
Fffifica6on
ffiaU@dctrironelng
at dropped ffom scfiooldisficl enrpllment and subjecthe unde[signed to fu3tion charges, eshbhhd schooldistrictrats, for any perlodof tme thatthe child'aesenrolledin the Publh $droolewhilenot a raeidefltFurfrcr,any material falsestatemente penatties pefury. for in this affidavitmaysubiect to crirhlnal the undersigned
Parent/Guadian $ignature
SQnature of Honreomer/Resident
Teleptnnenumberof Homeowner/Resident
MyCornrnissbn Expfres: