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2601 N LAMAR BLVD
AUSTIN, TX 78705
PHONE: 512.936.7605
FAX: 512.936.7610
LICENSING@OCCC.TEXAS.GOVPersonal AffidavitEach principal party as identified in the Application for License or Disclosure of
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This form is an official document required by the tax authorities for reporting specific financial information.
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What is the purpose of and file this form?
The purpose of this form is to ensure compliance with tax regulations and to report income or financial activity to the government.
What information must be reported on and file this form?
Information such as income earned, deductions claimed, and other relevant financial details must be reported on this form.
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