This government document is issued by Sheriffs for use in Santa Cruz County, CA
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https://www.google.com/url?client=internal-element-cse&cx=014495650983952418263:sdgp9gybu4g&q=https://www.co.santa-cruz.ca.us/Portals/0/County/asr/forms/taxform38.pdf&sa=U&ved=2ahUKEwj2p67Gkdr6AhWIQfEDHe_eAwI4HhAWegQIAhAB&usg=AOvVaw13K9mEyxWuDt2PWynr8ACL