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2012 STATEMENT OF FINANCIAL INTERESTS FORM 1 Please print or type your name, mailing I address, agency name, and position below: FOR OFFICE USE ONLY LAST NAME FIRST NAME MIDDLE NAME : Levi a for.:n
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Bformb 1 statement is a financial disclosure form.
Bformb 1 statement must be filed by individuals or entities specified by the governing authority.
Bformb 1 statement can be filled out by providing detailed information about financial assets, liabilities, and sources of income.
The purpose of bformb 1 statement is to promote transparency and prevent conflicts of interest.
Information such as assets, liabilities, income sources, and financial transactions must be reported on the bformb 1 statement.
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2012 2013 Florida THRESHOLDS reauired u-n 4--ternrta Mai r4 Xrc v21 rui F1 r4vc ry nre LArend iar Ageth Ci 474e-AcCI isv 7notii-tal 13JUL011411042 1st acceoted SCE tfi amm rw cn sinni jncludina

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