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I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT AND I UNDERSTAND THAT IT MAY BE USED TO OVERRIDE FEDERAL REGULATIONS REGARDING MY DEPENDENCY STATUS. IF I PURPOSELY GIVE FALSE OR MISLEADING INFORMATION ON THIS FORM I MAY BE FINED 10 000 SENT TO PRISION OR BOTH. DIRECTIONS After reading the information above carefully if you feel you can substantiate an extenuating circumstance such as an adverse situation in your parents home then complete this form and the Third Party Verification...

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