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/mcs-bank-general-information-form-2017-att-c2-fillable/download&sa=U&ved=2ahUKEwiyu8Gq0PyKAxWBKvsDHfFaLGk4ChAWegQICRAB&usg=AOvVaw0KgMUoYLtyPqcaLTCCuwhd&fexp=72821495,72821494