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OMB NO. 18200030
Expires: 10/31/2018ANNUAL STATE APPLICATION UNDER PART B OF THE
INDIVIDUALS WITH DISABILITIES EDUCATION ACT AS AMENDED IN 2004
FOR FEDERAL FISCAL YEAR 2016
CODA No. 84.027A and 84.173AED
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Form state is able is a tax form for reporting state taxes.
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Individuals or businesses who have income in that state.
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