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Get NJ PA-1G 2012-2023

Nstitution. 1. Do you: (Please check ALL boxes that apply.) Own your own home? Rent a House? Room? Apartment? Yes No Is your name on the lease? Live in a residential health care facility? Live in a licensed boarding home? Live alone, or with your spouse? (If you live with children, please list them in #2 below.) Live with a relative or friend? Have other living arrangements not described above? Please explain: Purchase and prepare your own meals? Share your meals with others? 2. List other peopl.

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