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INCOME CERTIFICATION QUESTIONNAIRE for HOME/CBG/CD BGD Programs (*NOTE: A separate questionnaire must be completed by each adult member of the household) NAME: TELEPHONE NUMBER: () Initial Certification
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Midwest state agencies are government organizations located in the Midwestern region of the United States.
Any individual or organization that operates within the jurisdiction of the midwest state agencies may be required to file.
Filing requirements can vary depending on the specific agency, but generally, forms must be completed accurately and submitted by the deadline.
The purpose of midwest state agencies is to regulate and oversee various aspects of governance within the Midwestern region.
Information such as financial data, operational activities, and compliance with regulations may need to be reported.
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