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

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

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

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

Your Birthday
From which of the following websites that Simon operates, are you seeking to have your content removed from?

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

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

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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:

Tell us more about you:

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* 5. Tell us more about you:

Legal confirmation:

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* 6. Legal confirmation:

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