Transcription of REG-27, Application for Non-Genealogical Certification or ...
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REG-27, Application for Non-Genealogical Certification or ...
REG-27a APR 19 FOR STATE USE ONLY Payment Type: Cash M/O Chec k W aived Amount: $ ID Viewed Processed By: Application FOR A Non-Genealogical Certification OR CERTIFIED COPY OF A VITAL record Certified Copy Certified Copy for an Apostille Seal Certification Requestor s Relationship to Person on record (proof is required for certified copy) Requestor s Signature Date (of request) Middle First Last Reasons for Request Passport Driver s License School / Sports Veterans Benefits Social Security Card / Benefits Medicare Welfare / DisabilityOther: Current Mailing Address (must match address on ID) Street City State Zip Code Email Address @.
2 The fee for the search and resulting ecord is $25; dditional copies of he same record ordered t he same time are $2 each. Additional years searched for No Record of Marriage are $1 per year. Make c heck or money order payable to “Treasurer, State of NJ.” DO NOT MAIL CASH!!!
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