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FINANCIAL ASSISTANCE APPLICATION Primary Applicant:Date of Birth:Cell Number:Email:Address: City/State/Zip: Emergency Contact Info: ADDITIONAL MEMBERS IN HOUSEHOLD NameFor more information: GENEVA
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Bill W and DR refers to forms used for tax reporting in certain jurisdictions, typically related to income and expenses for businesses and individuals.
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Information required includes total income, applicable deductions, tax credits, and personal identification details.
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