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dhs 1121
DHS 1121 (Rev. 10/18) Page 1 of 2 DESIGNATION OR
Upon completion of this form, return the original and a copy of the document authorizing you to be a representative to your assigned eligibility worker. You may
Jan 28, 2004 The Treasury and IRS expect that the proposed Schedule M-3 will be finalized for use with federal income tax returns for tax years ending on or
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