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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the Basic Information section, including your Name, Job Title, and Full Mailing Address. If applicable, list each office or position of employment for which this statement is filed.
- Proceed to answer all six questions carefully. For Question 1, report any single asset worth more than $10,000 as of the end of the preceding calendar year. If none, simply write 'none'.
- For Question 2, disclose any income sources exceeding $7,500 from the previous year. Include details about sold assets if applicable.
- In Question 3, list any debts over $10,000 that are not publicly available terms. Again, if none apply, write 'none'.
- Complete Questions 4 through 6 by providing information on government employment and relationships with lobbyists or gifts received.
- Finally, verify your information by signing and dating the form before submission.
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