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Return (Form 1040) and all schedules and attachments filed with the Internal Revenue Service. ANNUAL AMOUNTS 12. CLIENT'S MEDICAL EXPENSE: $ 13. CLIENT'S PORTION OF HEALTH/DENTAL INSURANCE POLICY PREMIUM Do not include Life Insurance premiums: $ 14. CLIENT'S CLOTHING EXPENSE: $ 15. CLIENT'S PERSONAL NEEDS AND INCIDENTALS Annual amounts paid from gross family income for personal needs and incidentals for the child with developmental disabilities: $ 16. CLIENT'S RECREATION AND E.

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