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Get In Hawkins Elder Law Medicaid Planning Client Questionnaire 2016-2024

Ment): Type of Expense: Electric Gas Water/Sewer Telephone Mortgage/Rent Pmt Property Taxes (calculated monthly) Property Insurance (calculated monthly) Company: Total Amount of monthly expenses: Amount: 4. Client #1 s children, or other people involved in this matter: Full Name of Child or Involved Person: How Related to Client #1: Date of Birth:.

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