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CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? Received 1/11/22 Dane County ClerkNOCOMMITTEE IDENTIFICATION Name of Committee Friends of Sarah Smith Address 5502 Moon

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What is received 11122?

Received 11122 is a form used to report any income received from various sources, such as wages, bonuses, interest, dividends, etc.

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Information such as income received from various sources, payer details, and any deductions or credits must be reported on received 11122.

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