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Pharmacare notarized affidavit 2026
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- Click ‘Get Form’ to open the pharmacare notarized affidavit in the editor.
- Begin by entering your personal information in the 'TELL US WHO YOU ARE' section. Use capital letters only, and ensure that names match exactly as they appear on your income tax return.
- In the 'YOUR INCOME' section, choose whether you are applying based on last year’s net income or this year’s gross income. Enter the appropriate amounts in Box A or Box B as instructed.
- Complete the 'CHECKLIST AND DECLARATION' section. Ensure you have enclosed copies of all required supporting documents and that your totals match those entered above.
- Sign and date the form at the bottom. If applicable, have your spouse sign as well.
- Finally, mail your completed application to Fair PharmaCare at the provided address.
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