Get the free This schedule must be included with the 2017 Renter Rebate Claim (Form PR-141) OR th...
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2017VERMONTHousehold Income×171441100×SCHEDULEHI144*
CHECK IF AMENDING
c FORM HS122 OR c FORM PR141For the year Jan. 1 Dec. 31, 20171 7 1 4 4 1 1 0 0 *Please PRINT in BLUE or BLACK INK
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