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Get Individual Consumer Debtor Financial Statement

Iary to trusts, estate, profit sharing, etc. Γ Yes Γ No b Bankruptcies _________ Yes _________ No Amount of Gross Income on return was _____________________ b Are you or did you receive a tax refund from Federal, State, City or County? ________ Yes ________ No If yes, list from whom and amount of each refund: Entity: _______________________________________________________________________________ $ _____________________________ Entity: ______________________________________________.

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