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Get Affidavit of Net Worth

Er business entity at any time during 2014? YES NO (skip to question 5) If "YES", indicate the dollar amount of perquisites and fringe benefits received as part of compensation for employment: a. Meals, lodging, memberships, automobiles or other perquisites to the extent they constitute expenditures for personal use, or which directly or indirectly confer personal economic benefits (if none, write "0") 4a. b. Fringe Benefits (if none, write "0") 4b. 5. Indicate the .

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