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          <div class="form-back"><a href="#" class="lined">Back</a></div>
          <h2 class="app-card_question">Let’s move on the final topic: income.</h2>

          <div class="form-group">
            <p class="form-note margin-bottom">Add up your total gross (pre-tax) household income from wages, benefits and other sources from all household members.</p>
            <p class="form-note margin-bottom">You only need to provide estimated totals right now. Precise totals will be calculated, if you are selected in the lottery.</p>
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          "value": "Laura Smith"
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      "header": "Household Members",
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        }
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    {
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        {
          "name": "Rent at 2106 Park Blvd",
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        {
          "name": "Name",
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          "name": "People with Developmental Disabilities",
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      ]
    }
  ]
}

There are no notes for this item.