Form Ftb 782 - Candidate Audit Questionnaire Page 5

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20. Did the candidate use personal funds to pay for any expenses?
m
m
Yes
No If so, please list them below:
Questionnaire completed by: _______________________________________ Title: ______________________________
Phone Number: __________________ Fax Number: __________________Email Address:________________________
Signature: ________________________________________________________ Date: ___________________________
Retain a copy for your records.
FTB 782 (NEW 07-2013) PAGE 5

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