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HOME AND COMMUNITY BASED SERVICES (HUBS) ELIGIBILITY / INELIGIBILITY / CHANGE FORM OFFICE INFORMATION County Assistance Office Redistrict Office Reassessment AgencyDateAPPLICANT/RECIPIENT DEMOGRAPHIC
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pa 1768 5th proofqxp is a form used to provide proof of income for individuals in Pennsylvania.
Residents of Pennsylvania who receive certain types of income or benefits may be required to file pa 1768 5th proofqxp.
To fill out pa 1768 5th proofqxp, you must provide information about your income, assets, and household size.
The purpose of pa 1768 5th proofqxp is to verify income and determine eligibility for certain benefits or assistance programs.
Information such as income from employment, Social Security benefits, pensions, and other sources must be reported on pa 1768 5th proofqxp.
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