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Get Personal Financial Affairs Statement Form

PUBLIC DISCLOSURE COMMISSION 711 CAPITOL WAY RM 206 PO BOX 40908 OLYMPIA WA 98504-0908 360 753-1111 TOLL FREE 1-877-601-2828 PDC FORM F-1A First DOLLAR CODE County M A R K PDC OFFICE USE 1 to 2 999 3 000 to 14 999 15 000 to 29 999 75 000 or more E C I V D Names of immediate family members. See F-1 manual for details. Zip 4 Filing Status Check only one box. An elected or state appointed official filing annual report Final report as an elected offi.

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