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FORM 1 Please print or type your name, mailing address, agency name, and position below: DALLAS T NAME FIRST NAME MIDDLE NAME:: dial (I s 2 2 t lit.TU. no. C4KYl g CITY : Sr ilia la COUNTY 33 her

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The Bformb 1 statement of is a document used to report financial information to the relevant authorities.

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Individuals or entities who meet the criteria set by the authorities are required to file the Bformb 1 statement of.

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The Bformb 1 statement of may require reporting of income, expenses, assets, liabilities, and other financial information.

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