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PART I <br /> 1AKES AND OCCUPATIONS OF CANDIDATE AND MEMBERS OF IMMEDIATE HOUSEHOLD <br /> List below vour name. spouse's name. and names of all children claimed by you as dependents for Federal <br /> Income Tax purposes. <br /> NATURE OF BUSINESS TYPE OF CUSTOMERS OR <br /> NAME ELII'LO1ER OR PROFESSION CLIENTELE SERVED <br /> Candidate <br /> Spouse <br /> Dependent Children) ' <br /> -2- <br />