<%@ Page Language="C#"%> <% title = "Work Opportunity Tax Credit"; tabNav = ""; breadCrumb = "Job Application > Work Opportunity Tax Credit"; leftNavEnabled = true; leftNavHeader = "YOUR PROGRESS"; leftNavType = "ProfileApp"; leftNavPhase = 4; percentComplete = 20; %> <% fieldHelpDiv("TBD", "Help for this field TBD."); %>

Work Opportunity Tax Credit

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Have you or your family received Aid to Families with Dependent Children (AFDC) or Temporary Assistance for Needy Families (TANF) for any 9 of the last 18 months?

			Yes
			No

Have you or your family received Temporary Assistance for Needy Families (TANF) for any 18 months beginning after August 5, 1997, including at least one day within the last 2 years?

			Yes
			No

Have you or your family received Aid to Families with Dependent Children (AFDC) or Temporary Assistance for Needy Families (TANF)?

			Yes
			No

What is the name of the primary recipient of benefits?

	<% fieldHelpLink("First Name", "TBD"); %>		<% fieldHelpLink("Last Name", "TBD"); %>

What city and state did the primary recipient live in while receiving benefits?

	<% fieldHelpLink("City", "TBD"); %>		<% fieldHelpLink("State", "TBD"); %>

What is your relationship with the primary recipient of benefits?

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