This government document is issued by Emergency Management and Homeland Security Agency for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://gema.georgia.gov/document/publication/property-acquisition-voluntary-interest-form/download&sa=U&ved=2ahUKEwjN0u2_lI2HAxU3g_0HHaEQAxQ4HhAWegQIAxAB&usg=AOvVaw3obudcbJNX59iGPvP6HHUk&fexp=72519171,72519168