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FORM 120 2STATEMENT OFPlease print or type your name, mailing address, agency name, and position below:( FINANCIAL INTERESTSFOR OFFICE UONLY:LAST NAME FIRST NAME MIDDLE NAME :L/14)6 e , St\'ASA1`)

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L146 E Stasa-1 is a specific tax form used for reporting certain income and tax-related information to the relevant tax authority.

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The purpose of L146 E Stasa-1 is to provide the tax authority with required information for the assessment of taxes owed by individuals or entities.

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The form typically requires reporting of income, deductions, credits, and other relevant financial data that pertains to the tax year in question.

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