Full Name
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Email
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Phone
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Social Security Number
Do you live in Macon-Bibb County, Twiggs County, Wilkinson, or Peach County?
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Macon-Bibb County or Twiggs County
Macon-Bibb County
Twiggs County
Wilkinson County
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Year 1040 Tax Returns for you and your Spouse
Are you Currently Employed?
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Are you Currently Employed?
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What is your Yearly Income?
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Do you have Active Medical Insurance?
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Do you have Active Medical Insurance?
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