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* 1. Personal Information (optional):

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* 2. How many individuals are in your household (please count yourself)?

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* 3. What is the range of income for your entire household?

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* 4. Are you interested in learning about additional public benefits or local resources for which you may be eligible such as SNAP, WIC or health insurance?

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* 5. Please indicate which best describes your income level for filing purposes.  (When you submit your survey, you will be redirected to a page that takes you to free file.)

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