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Form DC333 FINANCIAL STATEMENT ELIGIBILITY DETERMINATION FOR INDIGENT DEFENSE SERVICES Page: 1 Using This Form 1. Copies Original to court. 2. Prepared by person seeking a courtappointed attorney,

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2012 Virginia attestation courtappointed controvertible handprinted false TANF ascertainable parentis liens attested affirmed PRESUMPTIVE jointly ELIGIBILITY applicable deducted Nos INDIGENT spousal deductions lien Supplemental applicant notary Medicaid e

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