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05/10/2013 15 : 25 Image# 13940697114 PAGE 1 / 14 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3X For Other Than An Authorized Committee OFCE Use Only 1. TYPE OR PRINT NAME OF COMMITTEE (in full)
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Page 1-14 is a tax form used to report certain income, deductions, and credits for individuals.
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Individuals who have specific income, deductions, and credits that need to be reported on page 1-14 are required to file this form.
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