This government document is issued by Office of the State Treasurer for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://ost.georgia.gov/document/publication/aris-change-form-slb-1-7-11doc/download&sa=U&ved=2ahUKEwiV55nx1_yKAxUESaQEHXj-Oiw4WhAWegQICBAB&usg=AOvVaw1VKIxJsPvbcLjsctEAL55y&fexp=72821495,72821494