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Get Vt Form Hs-122 2015

Section B. If you will not be filing a Property Tax Adjustment Claim, please sign in the signature section at the bottom of page 2. Will you be filing a Property Tax Adjustment claim at a later date?. . . . . . . c Yes 5454 c No Form HS-122 27 Claimant s Last Name Social Security Number *151221200* * 1 5 1 2 2 1 2 0 0 * DUE DATE: April 15, 2015. Claims accepted up to, but not after, October 15, 2015. SECTION B. PROPERTY TAX ADJUSTMENT CLAIM For Household Income up to approx. $10.

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