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APPLICATION FOR WAIVER OF COURT FEES AND COSTS ... Form Adopted for Mandatory Use ... January 1, 2001 ... mailing address is (if applicable, include city or town, apartment no., if any, and zip code):
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The purpose of this form must be to report income and/or expenses to the tax authorities.
Income, expenses, deductions, and any other relevant financial information must be reported on this form.
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