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EFTA01357585
fficial O Lottery or Gaming O Sale of Business Entity's Investment Experience O Individual Earnings O Sale of Real Estate O Corporate Earnings O Business Owner Federal Tax Status (check one): 0 0-15% 0 16.1-32% 0 32.1-50% O 50.1% or more Approx % of net worth that is investable assets: 0 Other (pleas
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