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S Name (as shown on return) Social Security Number This certificate must be completed in its entirety to receive the $500 Developmentally Disabled Individual Credit. It must be attached to your Individual Income Tax Return the first time this credit is taken. It is good for five (5) years from the date the original tax credit is filed. At the end of five (5) years you must have a new certificate completed and attached to your Individual Income Tax Return. The credit is in addition to your r.

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