This government document is issued by California Health Facilities Financing Authority for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:crby_i19opu&q=https://www.treasurer.ca.gov/cpcfa/calcap/forms/recapture/cpcfa-recapture-opt-in-form.pdf&sa=U&ved=2ahUKEwj1vfWE8pvyAhUEAxAIHZ2VCIk4KBAWMAB6BAgFEAE&usg=AOvVaw05xwiOSU3ghyvSqFYR2cLu