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V6-DDependent Household Resources Verification Worksheet Please complete this form in ink pen only. Name (Print clearly): _____________________________________________ MCC ID: _________________
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Document Date: 2015-04-03 08:46:04

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City

Flint / /

Facility

University Attending Mott Community College Will / /

IndustryTerm

food stamps / data retrieval tool / food / /

Organization

MOTT COMMUNITY COLLEGE / OFFICE OF STUDENT FINANCIAL SERVICES / Internal Revenue Service / /

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ProvinceOrState

Michigan / /

PublishedMedium

the W / /

URL

www.irs.gov / /

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