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White Mountain Apache Tribal Regional Behavioral Health Authority ADDS×DBMS FORM MH112 AFFIDAVIT (Pursuant to A.R.S. 36533) STATE OF ARIZONA COUNTY OF)) SS)), being first duly sworn, deposes and
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Note: It is important to consult the official White Mountain Apache Tribal website or contact tribal authorities for specific eligibility requirements and detailed instructions on how to fill out the application accurately.
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The White Mountain Apache Tribe is a federally recognized tribe of the Western Apache people.
Individuals or businesses who have income or activities within the White Mountain Apache Tribe's jurisdiction.
The form can be filled out online or by paper, providing detailed information about income and activities within the tribe's jurisdiction.
The purpose is to report income and activities to the White Mountain Apache Tribe for tax and regulatory purposes.
Income, expenses, and activities within the White Mountain Apache Tribe's jurisdiction.
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