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Attachment to form 496

Document last updated on Wednesday, August 7, 2024.

Summary

The following form is required by Marin County when filing a 496 Independent Expenditure Report.

View the PDF and electronic forms

This form may not work with all assistive technology and is being remediated. For alternative formats, please email Elections Department or phone 415-473-6456. To use the California relay service, dial 711.

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Page last updated on March 22, 2026.