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Form# OM651R-1 RESIDENT FUNDS RECORD PART I Resident Name Michigan Department of Human Services Office of Children and Adult Licensing Facility Name License Number INSTRUCTIONS: 1. The licensee is
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Who needs form om651r-1?

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Individuals who are applying for XYZ benefit program.
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Form om651r-1 is a tax form used for reporting certain types of income and deductions.
Individuals or businesses who have income and deductions that need to be reported on form om651r-1 are required to file this form.
Form om651r-1 can be filled out by providing the requested information in each section of the form, following the instructions provided by the tax authority.
The purpose of form om651r-1 is to report income and deductions in order to calculate taxes owed or refunds due.
Information such as income, deductions, and any other required financial details must be reported on form om651r-1.
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