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Return this completed form to: TIEBREAK CHILD CARE CENTER 415 S. 28th Street, Battle Creek, MI 49015 (2696600448) Household Income Eligibility Statement Part 1 Households Receiving Food Assistance
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The completed form must be returned to the appropriate tax authority.
Individuals or entities who meet the filing requirements set by the tax authority.
The form can be filled out either manually or electronically, following the instructions provided by the tax authority.
The purpose of the form is to report income, expenses, and other financial information to the tax authority.
The form typically requires information such as income sources, deductions, credits, and personal information.
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