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SUPERIOR COURT (CIVIL DIVISION)CANADA PROVINCE OF QUEBEC DISTRICT OF MONTREAL No:50017 131228242ANASTASIA ZORCHINSKY, student, electing domicile for the purposes of the presents at the offices of

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no500-17- 131228-242 is a specific tax form used for reporting certain financial information to the tax authorities.

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The report must include income details, expenses, deductions, and any other relevant financial data as specified by tax authorities.

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