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MSCD/ISB 171 (REV 12/19) 2026

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  2. Begin by filling out lines A, B, and C regarding your current household size. Enter '0' if not applicable. Line A is for members aged 18 or older, line B for those aged 17 or younger, and line C is the total household size.
  3. Next, list each household member aged 18 or older along with their gross annual income. If a member has no income, indicate '$0'. Ensure all members from line A are included.
  4. Complete IRS Form 4506-T for each person listed in the previous step, including dependents. This form must be signed and returned.
  5. Check the certification fields confirming you are not claimed as a dependent and that your information is accurate. Fill in your name, application number, address, and signature before submitting.

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