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2004 CONTRIBUTIONS TO FAMILY DEVELOPMENT ACCOUNT RESERVE FUNDS TAX CREDIT WORKSHEET 36 M.R.S.A. 5216C TAXPAYER NAME: EIN/SSN: Note: you must attach a copy of the credit certificate issued by the Finance
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Provide accurate and up-to-date information about yourself.
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Specify the type and amount of your contribution.
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It is a specific form or document related to contributions.
Individuals or entities who have made contributions may be required to file this form.
The form must be filled out with accurate information about the contributions made.
The purpose is to report and document contributions made within a set timeframe.
Information about the contributions, including the amount, source, and date, must be reported.
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