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Certification of Compliance

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(All organizations must complete this part

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AND RETURN FOR CHARTER SCHOOL FACILITIES

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STATE OF NORTH CAROLINA

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REW-EST

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MORTGAGE ALLIANCE

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Personal Holding Company

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AS 43

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Public Law 86-272 applies

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For calendar year 2024 or the taxable year beginning , 2024, ending , 20

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Section I - Contributions and Other Expenditures

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Client Number:(clinic use)

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Check this box if you are annualizing your income

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Schedule I Nebraska Adjustments to Income

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Nebraska Individual Income Tax Booklet 2024

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For the taxable year January 1, 2024 through December 31, 2024 or other taxable year:

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Or Soc

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PRESENT EMPLOYER NAME

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