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* 1. Veteran Full Name

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* 2. In which branch (or branches) of the United States military have you served? (Check all that apply)

To qualify for free estate planning assistance from the Emory Veteran Program, you must meet the 200% Federal Poverty Guideline in the chart below. For example, if you live alone, you cannot have an income greater than $29,160.00 annually to qualify.

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2024 Federal Poverty Level

2024 Federal Poverty Level

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* 3. Do you meet the restrictions on the income chart above?

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* 4. What estate planning assistance are you requesting?

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* 5. Type your complete email address. Example: JohnDoe55@email.com

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* 6. Type your telephone number with area code. Example: 404-555-1212

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