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Step Up for Students Form 1050 Hc 2012-2023
The person named above. Please indicate their ages and
relationship to that person.
Name
Relationship
Age
1
2
3
4
5
6
7
8
9
10
The people listed above live at this address:_____________________________________________
Street Address
Under penalties of perjury, I certify that the information presented is true and accurate to
the best of my knowledge and belief. The undersigned further understands that providing
false representations herein constitutes an act of fraud. False, misleading or...
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