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FORM N101A (REV. 2007) PAGE 2 Detach the voucher where indicated. Submit only the voucher portion of this form with your payment. Make your check or money order payable in U.S. dollars to Hawaii State
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Form N-101A Rev Application is a financial disclosure statement required to be filed by certain individuals with the government.
Public officials and certain employees are required to file Form N-101A Rev Application.
Form N-101A Rev Application must be completed with accurate financial information and submitted to the appropriate government agency.
The purpose of Form N-101A Rev Application is to disclose financial interests and potential conflicts of interest.
Form N-101A Rev Application requires reporting of assets, income, liabilities, and gifts received.
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