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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit …

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    • [PDF File]I HEREBY CERTIFY

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      certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty of 10 percent of the tax or $500, whichever is more.

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    • [PDF File]Form W-9 (Rev. October 2018)

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      Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service . Request for Taxpayer Identification Number and Certification

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    • [PDF File]Internal Revenue Service Go to www.irs.gov/Form1023 for ...

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      Form 1023 (Rev. December 2017) Department of the Treasury Internal Revenue Service . Application for Recognition of Exemption . Under Section 501(c)(3) of the Internal Revenue Code

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    • [PDF File]Sales and Use Tax Blanket Exemption Certiļ¬cate

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      es that the claim is based upon the purchaser’s proposed use of the items or services, the activity of the purchase, STEC B Rev. 3/15 . tax.ohio.gov

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    • [PDF File]BCIA 8016, Request for Live Scan Service

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      Applicant Submission. ORI (Code assigned by DOJ) Authorized Applicant Type Type of License/Certification/Permit OR Working Title (Maximum 30 characters - if …

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    • [PDF File]New York State and Local Sales and Use Tax ST-121 Exempt ...

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      Enter Certificate of Authority number here New York State Department of Taxation and Finance New York State and Local Sales and Use Tax Exempt Use Certificate Please read the instructions on pages 3 and 4 for more information on each exemption, and mark an X in the applicable box(es) next to the exemption(s) you are claiming.

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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      navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,

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    • [PDF File]1490S-Patient's Request for Medical Payment

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      Patient’s Request for Medical Payment for the Influenza/Pneumococcal Vaccinations, Part B Services, (includes physician, laboratory, imaging services), Durable Medical Equipment, Prosthetics, Orthotics and Supplies, Foreign Travel (including Canada and Mexico) and Shipboard Services Influenza and Pneumococcal Vaccination:

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    • [PDF File]Public Service Loan Forgiveness Employment Certification ...

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      A forbearance is a period during which you are allowed to postpone making payments temporarily, allowed an extension of time for making payments, or temporarily

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