ࡱ> IKH` (bjbjss 40H$    ,8D$*)0TP((((((($)hH,&(9(( ((%'| ЃW y&'(0*)&n-n-('n-'4(( *)$$$ $$$$ $$$ AUTHORIZATION FOR RELEASE OF CERTIFICATE OF MILITARY DISCHARGE Pursuant to SDCL 33-17-14 Information needed to Locate Records Name veteran used during service (last, first, middle)  FORMTEXT      2. Social Security Number or Service Number  FORMTEXT      3. Date of Birth  FORMTEXT      4. Place of Birth  FORMTEXT      5. Dates of Service  FORMTEXT      6. Branch of Service  FORMTEXT       Print or type name and address of person to whom a copy of certificate is to be sent or released: Your Name:  FORMTEXT      8. Street Address or PO Box:  FORMTEXT      9. City, State, Zip  FORMTEXT      10. Telephone Number  FORMTEXT      Signature and date  FORMTEXT       Requester is eligible to r|~l n        < > R T V ` b d عӝ؎~عn؎jh h25UjGh h25Ujh 5UmHnHujth h25Uhf`hf`5CJaJjh\q5Ujh h25U h 5jh 5Uhf`5CJaJ hf`5hf`hf`5hmhf`+~l   Vzkd$$Ifl0d(d t04)644 la $Ifgdf` & F L$If^`Lgdf`gdf`$a$gdf` ( < d 8 ` {zkd/$$Ifl0d(d t04)644 la $Ifgdf`   8 : N P R \ ^ d & ( < > @ T V X b d f h ʾ~l~[~Qh h 5aJ!jh 5UaJmHnHu"jh h25UaJjh 5UaJ h 5aJh hf`5CJaJh h 5CJaJ hf`5jh h25Uhf`hf`5CJaJhf`hf`5jh 5UmHnHujh h25U h 5jh 5U` b d ( > f kbb $Ifgd  & F h$If^hgd gdf`zkdv$$Ifl0d(d t04)644 laf h &gkd$$Ifl(4) t04)644 la $Ifgdf`gkdI$$Ifl(4) t04)644 la      " L N P d f h r t v x $$$$$$$$%ұҕ҅҃sjh h25UUjh h25Ujh h25Uh hf`5CJaJjOh h25Uh h 5CJaJ hf`5 h 5jh 5UmHnHujh 5Ujh h25U- " N v gkd$$Ifl(4) t04)644 la $Ifgdf`v x v $Ifgd  & F  h$If^h`gd gkd$$Ifl(4) t04)644 la $$$f%%@&&''@(B(D(F(H(J(gdf`gkdC$$Ifl(4) t04)644 laeceive a copy of the military discharge certificate by virtue of being:  FORMCHECKBOX  The Veteran Named Above  FORMCHECKBOX  A County/Tribal Veterans Service Officer  FORMCHECKBOX  The Department of Military and Veterans Affairs  FORMCHECKBOX  The Veteran s Parent  FORMCHECKBOX  The Veteran s Next of Kin. Relation:  FORMTEXT      _____________________________________  FORMCHECKBOX  The Veteran s Legal Representative (must submit a copy of court appointment)  FORMCHECKBOX  The Veteran s Designee MVA-DVA-21-22 MAY 6, 2003 % % %d%f%h%%%%%% &&&@&B&^&`&b&&&&&&&&&'('D'F'H'''(ᘓtdjF h2h25Ujh\q5UmHnHuj h\qh\q5U h\q5jh\q5Uj\ h2h25Ujh2h25Ujth\qh\q5Ujh25U h 5 h25jh 5Ujh\qh\q5U!( ( (((hf`h25 h25jh25Uj h2h25UJ(L(N(P(R(T(V(X(Z(\(x(($a$gd2gdf` 21h:p / =!"#$% tDText2tDText3]$$If!vh55d#v#vd:Vl t4)655dtDText4tDText5]$$If!vh55d#v#vd:Vl t4)655dtDText6tDText7]$$If!vh55d#v#vd:Vl t4)655dtDText8G$$If!vh54)#v4):Vl t4)654)tDText9G$$If!vh54)#v4):Vl t4)654)vDText10G$$If!vh54)#v4):Vl t4)654)vDText11G$$If!vh54)#v4):Vl t4)654)vDText12G$$If!vh54)#v4):Vl t4)654)tDeCheck1tDCheck2tDCheck3tDeCheck4tDeCheck5vDText13tDeCheck6tDeCheck7@@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j f` Table Grid7:V0H0?YZ  2FZ[q34Rfg|HIu  !"#$%&'()*+,-.<J0000 00 00 0 00 00 0 00 00 0 0 000 0 00 0 00 0 00 0  0 0 0 00000000000000000000000000?YZ  2FZ[q34RfgJ0000 00 00 0 00 00 0 00 00 0 0 0j000 h00j00h00 j00 0 j0000 j0000  0 %((  ` f v J(( (  *0FRXq}+1R^d|IYu 0ZflHFFFFFFFFFFFG G G G G FG G Text2Text3Text4Text5Text6Text7Text8Text9Text10Text11Text12Check1Check2Check3Check4Check5Text13Check6Check7Gr S}Jv![J  1Y2eZ1mJJAEJ3 1FYq2Re|IZu GJJ$La3RB@fVVNb%ff00?yj&_x8p=|g^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.  \ ^ `\o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.fVb%f$p=|a3?yj_x                                             l|!                 AUTHORIZATION FOR RELEASE OF CERTIFICATE OF MILITARY DISCHARGE Davison County Register of Deeds Davison County Register of Deeds(       Oh+'0$0@ lx   @AUTHORIZATION FOR RELEASE OF CERTIFICATE OF MILITARY DISCHARGE$Davison County Register of DeedsNormal$Davison County Register of Deeds2Microsoft Office Word@[@*R@;՜.+,04 hp  Davison County F ?AUTHORIZATION FOR RELEASE OF CERTIFICATE OF MILITARY DISCHARGE Title  "#$%&'()*+,-./012345679:;<=>?ABCDEFGJRoot Entry FWLData 1Table!-WordDocument40SummaryInformation(8DocumentSummaryInformation8@CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q