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The city and state in which you signed the form.

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13y ago

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The phrase "dated at blank this blank day of blank blank" typically indicates the date and location where a document was signed or created. The first "blank" usually represents the place, while the second set of "blanks" specifies the day, month, and year. This format is often used in legal or official documents to provide a clear record of when and where the document was executed.


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To fill out "Dated at _____ this ____ day of ____ year," start by writing the specific location in the first blank (e.g., "New York"). In the second blank, write the numeric day of the month (e.g., "15"). In the third blank, write the month in word form (e.g., "October"), and in the last blank, write the full year (e.g., "2023"). The completed sentence might read: "Dated at New York this 15 day of October year 2023."


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