%PDF-1.7
%
1 0 obj
<<
/AcroForm 2 0 R
/Extensions <<
/ADBE <<
/BaseVersion /1.7
/ExtensionLevel 3
>>
>>
/Lang (en-US)
/Metadata 3 0 R
/OpenAction 4 0 R
/Outlines 5 0 R
/Pages 6 0 R
/Type /Catalog
/ViewerPreferences <<
/Direction /L2R
>>
>>
endobj
7 0 obj
<<
/CreationDate (D:20190527160555-06'00')
/Creator (Adobe InDesign CC 2017 \(Windows\))
/ModDate (D:20190527160556-06'00')
/Producer (Adobe PDF Library 15.0)
/Trapped /False
/Title (Dependent Children Declaration )
>>
endobj
2 0 obj
<<
/DR <<
/Font <<
/TiRo 8 0 R
>>
>>
/Fields [9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R
19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R
29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R]
>>
endobj
3 0 obj
<<
/Length 2472
/Subtype /XML
/Type /Metadata
>>
stream
2019-05-27T16:05:55-06:00
2019-05-27T16:05:56-06:00
2019-05-27T16:05:56-06:00
Adobe InDesign CC 2017 (Windows)
uuid:17520980-f4fa-4f3b-b7d0-ac39e116ddda
xmp.did:943A8E4D8C87E311A1F6DA6A7D772DB9
xmp.id:edabe44d-6743-c842-8aa0-3c96c8d51d4d
proof:pdf
xmp.iid:8819beee-0b22-a94f-92f5-8d4c527cf813
xmp.did:82CC674555DCE311B747B0C463DFE3EF
xmp.did:943A8E4D8C87E311A1F6DA6A7D772DB9
default
converted
from application/x-indesign to application/pdf
Adobe InDesign CC 2017 (Windows)
/
2019-05-27T16:05:55-06:00
application/pdf
Adobe PDF Library 15.0
False
endstream
endobj
4 0 obj
<<
/D [36 0 R /Fit]
/S /GoTo
>>
endobj
5 0 obj
<<
/Count 0
/Type /Outlines
>>
endobj
6 0 obj
<<
/Count 1
/Kids [36 0 R]
/Type /Pages
>>
endobj
8 0 obj
<<
/BaseFont /Times-Roman
/Encoding 37 0 R
/Name /TiRo
/Subtype /Type1
/Type /Font
>>
endobj
9 0 obj
<<
/AP <<
/N <<
/Off 38 0 R
/Yes 39 0 R
>>
>>
/AS /Off
/BS <<
/S /S
/W 1
>>
/F 4
/FT /Btn
/Ff 0
/H /P
/MK 40 0 R
/P 36 0 R
/Rect [430.11 462.24 438.75 470.88]
/Subtype /Widget
/T (Check Box 3)
/Type /Annot
/V /Off
>>
endobj
10 0 obj
<<
/AP <<
/N <<
/Off 41 0 R
/Yes 42 0 R
>>
>>
/AS /Off
/BS <<
/S /S
/W 1
>>
/F 4
/FT /Btn
/Ff 0
/H /P
/MK 43 0 R
/P 36 0 R
/Rect [430.11 437.04 438.75 445.68]
/Subtype /Widget
/T (Check Box 4)
/Type /Annot
/V /Off
>>
endobj
11 0 obj
<<
/AP <<
/N <<
/Off 44 0 R
/Yes 45 0 R
>>
>>
/AS /Off
/BS <<
/S /S
/W 1
>>
/F 4
/FT /Btn
/Ff 0
/H /P
/MK 46 0 R
/P 36 0 R
/Rect [429.909 410.84 438.549 419.48]
/Subtype /Widget
/T (Check Box 5)
/Type /Annot
/V /Off
>>
endobj
12 0 obj
<<
/AP <<
/N <<
/Off 47 0 R
/Yes 48 0 R
>>
>>
/AS /Off
/BS <<
/S /S
/W 1
>>
/F 4
/FT /Btn
/Ff 0
/H /P
/MK 49 0 R
/P 36 0 R
/Rect [429.909 385.64 438.549 394.28]
/Subtype /Widget
/T (Check Box 6)
/Type /Annot
/V /Off
>>
endobj
13 0 obj
<<
/AP <<
/N 50 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 51 0 R
/P 36 0 R
/Q 0
/Rect [252.0 593.28 406.94 607.68]
/Subtype /Widget
/T (Text Field 1PI 21)
/Type /Annot
>>
endobj
14 0 obj
<<
/AP <<
/N 52 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 53 0 R
/P 36 0 R
/Q 0
/Rect [47.52 566.64 285.12 581.04]
/Subtype /Widget
/T (Text Field 1PI 22)
/Type /Annot
>>
endobj
15 0 obj
<<
/AP <<
/N 54 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 55 0 R
/P 36 0 R
/Q 0
/Rect [308.0 566.64 448.4 581.04]
/Subtype /Widget
/T (Text Field 1PI 23)
/Type /Annot
>>
endobj
16 0 obj
<<
/AP <<
/N 56 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 57 0 R
/P 36 0 R
/Q 0
/Rect [459.0 566.64 581.04 581.04]
/Subtype /Widget
/T (Text Field 1PI 24)
/Type /Annot
>>
endobj
17 0 obj
<<
/AP <<
/N 58 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 59 0 R
/P 36 0 R
/Q 0
/Rect [36.0 455.04 277.2 480.24]
/Subtype /Widget
/T (Text Field 1PI 25)
/Type /Annot
>>
endobj
18 0 obj
<<
/AP <<
/N 60 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 61 0 R
/P 36 0 R
/Q 0
/Rect [36.88 428.76 278.08 453.96]
/Subtype /Widget
/T (Text Field 1PI 26)
/Type /Annot
>>
endobj
19 0 obj
<<
/AP <<
/N 62 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 63 0 R
/P 36 0 R
/Q 0
/Rect [37.44 402.56 278.64 427.76]
/Subtype /Widget
/T (Text Field 1PI 27)
/Type /Annot
>>
endobj
20 0 obj
<<
/AP <<
/N 64 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 65 0 R
/P 36 0 R
/Q 0
/Rect [37.32 376.28 278.52 401.48]
/Subtype /Widget
/T (Text Field 1PI 28)
/Type /Annot
>>
endobj
21 0 obj
<<
/AP <<
/N 66 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 67 0 R
/P 36 0 R
/Q 0
/Rect [277.2 455.04 402.48 480.24]
/Subtype /Widget
/T (Text Field 1PI 29)
/Type /Annot
>>
endobj
22 0 obj
<<
/AP <<
/N 68 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 69 0 R
/P 36 0 R
/Q 0
/Rect [277.2 428.84 402.48 454.04]
/Subtype /Widget
/T (Text Field 1PI 30)
/Type /Annot
>>
endobj
23 0 obj
<<
/AP <<
/N 70 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 71 0 R
/P 36 0 R
/Q 0
/Rect [277.2 401.48 402.48 426.68]
/Subtype /Widget
/T (Text Field 1PI 31)
/Type /Annot
>>
endobj
24 0 obj
<<
/AP <<
/N 72 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 73 0 R
/P 36 0 R
/Q 0
/Rect [278.64 376.36 403.92 401.56]
/Subtype /Widget
/T (Text Field 1PI 32)
/Type /Annot
>>
endobj
25 0 obj
<<
/AP <<
/N 74 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 75 0 R
/P 36 0 R
/Q 0
/Rect [473.04 453.96 585.0 479.16]
/Subtype /Widget
/T (Text Field 1PI 33)
/Type /Annot
>>
endobj
26 0 obj
<<
/AP <<
/N 76 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 77 0 R
/P 36 0 R
/Q 0
/Rect [473.04 428.76 585.0 453.96]
/Subtype /Widget
/T (Text Field 1PI 34)
/Type /Annot
>>
endobj
27 0 obj
<<
/AP <<
/N 78 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 79 0 R
/P 36 0 R
/Q 0
/Rect [473.04 401.48 585.0 426.68]
/Subtype /Widget
/T (Text Field 1PI 35)
/Type /Annot
>>
endobj
28 0 obj
<<
/AP <<
/N 80 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 81 0 R
/P 36 0 R
/Q 0
/Rect [473.04 376.28 585.0 401.48]
/Subtype /Widget
/T (Text Field 1PI 36)
/Type /Annot
>>
endobj
29 0 obj
<<
/AP <<
/N 82 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 83 0 R
/P 36 0 R
/Q 0
/Rect [324.72 314.64 529.02 329.04]
/Subtype /Widget
/T (Text Field 1PI 37)
/Type /Annot
>>
endobj
30 0 obj
<<
/AP <<
/N 84 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 85 0 R
/P 36 0 R
/Q 0
/Rect [47.52 225.36 294.48 239.76]
/Subtype /Widget
/T (Text Field 1PI 38)
/Type /Annot
>>
endobj
31 0 obj
<<
/AP <<
/N 86 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 87 0 R
/P 36 0 R
/Q 0
/Rect [315.27 225.36 448.4 239.76]
/Subtype /Widget
/T (Text Field 1PI 39)
/Type /Annot
>>
endobj
32 0 obj
<<
/AP <<
/N 88 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 89 0 R
/P 36 0 R
/Q 0
/Rect [457.56 223.48 581.04 237.88]
/Subtype /Widget
/T (Text Field 1PI 40)
/Type /Annot
>>
endobj
33 0 obj
<<
/AP <<
/N 90 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 91 0 R
/P 36 0 R
/Q 0
/Rect [37.44 185.76 200.16 200.16]
/Subtype /Widget
/T (Text Field 1PI 41)
/Type /Annot
>>
endobj
34 0 obj
<<
/AP <<
/N 92 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 93 0 R
/P 36 0 R
/Q 0
/Rect [360.44 134.08 564.74 148.48]
/Subtype /Widget
/T (Text Field 1PI 42)
/Type /Annot
>>
endobj
35 0 obj
<<
/AP <<
/N 94 0 R
>>
/BS <<
/S /S
/W 1
>>
/DA (/TiRo 12 Tf 0 g)
/F 4
/FT /Tx
/Ff 0
/MK 95 0 R
/P 36 0 R
/Q 0
/Rect [37.32 97.2 254.16 111.6]
/Subtype /Widget
/T (Text Field 1PI 43)
/Type /Annot
>>
endobj
36 0 obj
<<
/Annots [9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R
19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R
29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R]
/ArtBox [0.0 0.0 612.0 792.0]
/BleedBox [0.0 0.0 612.0 792.0]
/Contents 96 0 R
/CropBox [0.0 0.0 612.0 792.0]
/Group 97 0 R
/MediaBox [0.0 0.0 612.0 792.0]
/Parent 6 0 R
/Resources <<
/ColorSpace <<
/CS0 [/ICCBased 98 0 R]
>>
/ExtGState <<
/GS0 99 0 R
/GS1 100 0 R
/GS2 101 0 R
>>
/Font <<
/T1_0 102 0 R
/TT0 103 0 R
>>
/ProcSet [/PDF /Text]
/XObject <<
/Fm0 104 0 R
>>
>>
/Rotate 0
/Tabs /W
/Thumb 105 0 R
/TrimBox [0.0 0.0 612.0 792.0]
/Type /Page
>>
endobj
37 0 obj
<<
/Differences [24 /breve /caron /circumflex /dotaccent /hungarumlaut /ogonek /ring /tilde 39
/quotesingle 96 /grave 128 /bullet /dagger /daggerdbl /ellipsis /emdash /endash
/florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft
/quoteright /quotesinglbase /trademark /fi /fl /Lslash /OE /Scaron /Ydieresis /Zcaron
/dotlessi /lslash /oe /scaron /zcaron 160 /Euro 164 /currency 166
/brokenbar 168 /dieresis /copyright /ordfeminine 172 /logicalnot /.notdef /registered /macron
/degree /plusminus /twosuperior /threesuperior /acute /mu 183 /periodcentered /cedilla /onesuperior
/ordmasculine 188 /onequarter /onehalf /threequarters 192 /Agrave /Aacute /Acircumflex /Atilde
/Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute
/Icircumflex /Idieresis /Eth /Ntilde /Ograve /Oacute /Ocircumflex /Otilde /Odieresis /multiply
/Oslash /Ugrave /Uacute /Ucircumflex /Udieresis /Yacute /Thorn /germandbls /agrave /aacute
/acircumflex /atilde /adieresis /aring /ae /ccedilla /egrave /eacute /ecircumflex /edieresis
/igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde
/odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis]
/Type /Encoding
>>
endobj
38 0 obj
<<
/Length 10
/BBox [0.0 8.64 8.64 0.0]
/Filter /FlateDecode
/Matrix [1.0 0.0 0.0 1.0 0.0 0.0]
/Resources <<
>>
/Subtype /Form
>>
stream
H0
endstream
endobj
39 0 obj
<<
/Length 271
/BBox [0.0 8.64 8.64 0.0]
/Filter /FlateDecode
/Matrix [1.0 0.0 0.0 1.0 0.0 0.0]
/Resources <<
/ColorSpace <<
/CS0 [/ICCBased 98 0 R]
>>
/ExtGState <<
/GS0 101 0 R
>>
>>
/Subtype /Form
>>
stream
HQMJ1mֳ#
2K?<&{MfۏFEm}tez/E2IU