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Em Blatt) Insgesamt (vereinbarte) regelm ige w chentliche Arbeitszeit: ............................................ Stunden Dienstherr bzw. Arbeitgeber (Name, Anschrift): ........................................................................................................................... Nachweise zu den Angaben f r ein vollj hriges Kind: 4 sind beigef gt liegen bereits vor werden nachgereicht Haben Sie oder eine andere Person f r dieses Kind bei einer anderen Familienkasse.

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