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Get DOE Financial Disclosure Statement

N on pay-stubs: Deductions Amount Reason 401k: Retirement: Union Dues: Medical: Credit Union: Other: ____________ ____________ ____________ ____________ ____________ ____________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ Monthly Expenses Shelter (SEND COPY OF MORTGAGE OR LEASE) Rent/Mortgage: 2nd home mortgage: Home insurance: Other: F.

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