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163A863. Contents of application form. (a) Information Requested of Applicant. The form required by G.S. 163A862(a) shall request the applicant's: (1) Name, (2) Date of birth, (3) Residence address,
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How to fill out gs 163a-863 page 1
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To fill out GS 163a-863 page 1, follow these steps:
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Start by entering the date in the designated field at the top of the page.
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Provide your name and contact information, including address, phone number, and email address.
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If applicable, indicate your Social Security number or other identifying information requested.
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Next, you may need to provide information about your current employment status or employer.
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If you have any dependents, indicate their names and relationship to you.
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Provide details about your income, including any wages, salaries, tips, or other earnings.
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If applicable, indicate any other sources of income, such as investments or rental property.
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Deduct any allowable expenses or deductions from your income to calculate your net income.
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If you are applying for benefits or services, provide details about these applications.
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