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1. Verify that you are currently a legal resident of the State of California (CA): (Required.)

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2. Verify that you are currently under the age of eighteen (18) years old by entering your birthday: (Required.)

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3. From which of the following websites that Simon operates, are you seeking to have your content removed from? (Required.)

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4. Describe the exact content that you wish to be removed. If possible, please provide a URL to where it currently is posted: (Required.)

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5. Tell us more about you: (Required.)

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6. Legal confirmation: (Required.)

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