[MODELO] Título: Declaração

DECLARAÇÃO

Nome Completo:__________________________________________________________, nacionalidade: _______________________, Estado Civil:________________________,

Profissão___________________________ Identidade____________________________,

Residente na ______________________________________________________________

____________________________________,Bairro_______________________________

Cidade_______________________________,Estado______________________________Cep_________________________________,.DECLARA QUE _____________________

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Assinatura______________________________________________________________

(firma reconhecida)