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Statement Of Financial Interests SEC-1 - Pennsylvania

Statement Of Financial Interests Form. This is a Pennsylvania form and can be used in State Ethics Commission Statewide .
 Fillable pdf Last Modified 1/9/2013
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STATE ETHICS COMMISSION STATEMENT OF FINANCIAL INTERESTS DO NOT USE FORMS PRINTED PRIOR TO YEAR 2012 (Rev. 01/12) THIS FORM IS CONSIDERED DEFICIENT IF ANY BLOCK IS NOT COMPLETED OR IF SIGNATURE OR DATE IS MISSING THIS FORM IS CONSIDERED DEFICIENT IF ANY BLOCK IS NOT COMPLETED OR IF SIGNATURE OR DATE IS MISSING SIGN THE FORM USING THE CURRENT DATE - DO NOT BACK DATE SIGNATURE SIGN THE FORM USING THE CURRENT DATE - DO NOT BACK DATE SIGNATURE MAKE A COPY FOR YOUR RECORDS AND ADDITIONAL FILINGS WHERE REQUIRED (see COPY FOR back of form) MAKE Afiling chart onYOUR RECORDS THIS FORM MUST BE COMPLETED AND FILED BY: A B C D A former public official or former public employee must file the year after termination of service with the governmental body. E IMPORTANT: (Page 4) for proper filing location. review the filing chart American LegalNet, Inc. www.FormsWorkFlow.com List a business, governmental and/or home address and daytime telephone number. American LegalNet, Inc. www.FormsWorkFlow.com ADDRESS (work or home) American LegalNet, Inc. www.FormsWorkFlow.com ORIGINAL COPY ADDITIONAL FILINGS * No additional copy required Additional copy is not required to be filed (unless serving in multiple capacities, then file with each entity as required) No additional copy required Additional copy is not required to be filed (unless serving in multiple capacities, then file with each entity as required) * Filer is responsible for making all additional copies. American LegalNet, Inc. www.FormsWorkFlow.com
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