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FORM 1 Please print or type your name, mailing address, agency name, and position below: LAST NAME FIRST NAME MIDDLE NAME : FOR OFFICE USE ONLY: / ID ot4,1 1 A/A 5/ Lo A 2009 STATEMENT OF I FINANCIAL
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Form 1 is a tax form used to report income earned by individuals or businesses.
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The purpose of Form 1 is to accurately report income earned and calculate the tax liability of the taxpayer.
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