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Get MI DHS-681 2012

From job(s) Workers’ compensation Social Security (SSI, disability, retirement, etc.) Veterans Administration (VA) benefits Unemployment Pension Child support received (for all cases) Spousal support Settlement (legal settlement, insurance settlement, annuity) DHS-681 MS Word (10-12) Other income (describe source and monthly amount) 3 ASSET INFORMATION Yes Do you have a savings, checking, or other non-retirement account? If yes, total amount in all accounts: $ No Date: Bank o.

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