Form 12A638 Statement of Financial Condition for Individuals - Kentucky

Form 12A638 Statement of Financial Condition for Individuals - Kentucky

What Is Form 12A638?

This is a legal form that was released by the Kentucky Department of Revenue - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 12A638?A: Form 12A638 is the Statement of Financial Condition for Individuals used in Kentucky.

Q: Who needs to file Form 12A638?A: Individuals residing in Kentucky who want to receive public assistance or defense of indigents services may be required to file Form 12A638.

Q: What is the purpose of Form 12A638?A: The purpose of Form 12A638 is to provide detailed information about an individual's financial condition to determine eligibility for public assistance or defense of indigents services.

Q: How do I obtain Form 12A638?A: You can obtain Form 12A638 from the Kentucky Department for Medicaid Services or the Kentucky Department of Public Advocacy.

Q: What information should be included in Form 12A638?A: Form 12A638 requires information about your income, assets, expenses, and liabilities.

Q: Are there any fees associated with filing Form 12A638?A: No, there are no fees associated with filing Form 12A638.

Q: Is Form 12A638 confidential?A: Yes, the information provided on Form 12A638 is confidential and will only be used for determining eligibility for public assistance or defense of indigents services.

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Form Details:

  • Released on July 1, 2004;
  • The latest edition provided by the Kentucky Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 12A638 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Revenue.

Download Form 12A638 Statement of Financial Condition for Individuals - Kentucky

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