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OMB No.: 09150285. Expiration Date: 10/31/2013 DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth Resources and Services AdministrationFORM 3: INCOME ANALYSIS YEAR 1 YEAR 2 FOR RSA USE ONLYApplicant Name
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Year 1 represents the first year of a period, while Year 2 represents the second year of the same period.
Individuals, businesses, and organizations may be required to file Year 1Year 2 depending on their specific circumstances.
Year 1Year 2 can be filled out by providing the required information and documentation as specified by the governing tax authorities.
The purpose of Year 1Year 2 is to report financial and tax-related information for the respective years.
Information such as income, expenses, deductions, credits, and other relevant financial details must be reported on Year 1Year 2.
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