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FORM 1 STATE ENT OF 2001 FINANCIAL INTERESTSPlease print or type your name, NG address agency name, and posits on l below :LAST NAME FIRST NAME MIDDLE NAME : L1n(^(USEFUL OFFICE ONLY:MAILING ADDRESS(niIDCoder
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{"form_name":"Form XYZ"}
{"required_filers":"All businesses with annual revenue over $1 million"}
{"filling_instructions":"Complete all sections with accurate information"}
{"purpose":"To report financial data to the government"}
{"reported_information":"Revenue, expenses, profits"}
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