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Get GA CD-14C 2011

Accounts, stored value cards (e.g., payroll cards, government benefit cards, etc.) List safe deposit boxes including location and contents. Type of Account Full Name & Address (Street, City, State, ZIP code) of Bank, Savings & Loan, Credit Union, or Financial Institution. Account Balance As of Account Number mmddyyyy 12a $ 12b $ 12c Total Cash (Add lines 12a, 12b, and amounts from any attachments) $ Investments. Include stocks, bonds, mutual funds, stock options, certificate.

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