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CSD 43B (rev.12/2013) CERTIFICATION OF INCOME AND EXPENSES. You are being asked to complete this form because you requested assistance, and state that your entire household cannot provide proof. of income. The State of California requires the applicant to report all sources of income.
The Community Services Block Grant (CSBG) provides funding to local non-profit and public agencies to help alleviate the causes and conditions of poverty in ...
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