New york state department of financial services
[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
[PDF File]8821 Tax Information Authorization OMB No. 1545-1165
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Department of the Treasury Internal Revenue Service . Tax Information Authorization ... To revoke a prior tax information authorization(s) without submitting a new authorization, see the line 6 instructions. 7; Signature of taxpayer. If signed by a corporate officer, partner, guardian, partnership representative, executor, receiver, ...
[PDF File]2018 Instructions for Form 990 Return of Organization ...
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An organization's completed Form 990 or 990-EZ, and a section 501(c)(3) organization's Form 990-T, Exempt Organization Business Income Tax Return, generally are available for public inspection as required by section 6104. Schedule B (Form 990, 990-EZ, or 990-PF), Schedule of Contributors, is available for public inspection for section 527
[PDF File]IRS 8300 Report of Cash Payments Over $10,000 FinCEN 8300 ...
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Clerks of federal or state courts must file Form 8300 if more than $10,000 in cash is received as bail for an individual(s) charged with certain criminal offenses. For these purposes, a clerk includes the clerk’s office or any other office, department, division, branch, or unit of the court that is authorized to receive bail.
[PDF File]Form Refund Due a Deceased Taxpayer
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Department of the Treasury ... new check will be issued in your name and mailed to you. Line B Check the box on line B only if you are the decedent’s court-appointed personal representative claiming a refund for the ... state agencies to enforce federal nontax criminal laws, or to
[PDF File]Form 2848 Power of Attorney For IRS Use Only Received by ...
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A separate Form 2848 must be completed for each taxpayer. Form 2848 will not be honored for any purpose other than representation before the IRS. 1. Taxpayer information. Taxpayer must sign and date this form on page 2, line 7. Taxpayer name and address . Taxpayer identification number(s) Daytime telephone number . Plan number (if applicable)
[PDF File]Instructions for Form 2848 (Rev. January 2018)
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Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless otherwise noted. General Instructions Future Developments For the latest information about developments related to Form 2848 and its instructions, go to IRS.gov/Form2848. What's New Intermediate Service Providers. A checkbox has been ...
[PDF File]Form 4506-T (Rev. 6-2019)
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which contains information on the financial status of the account, such as payments made on the account, penalty ... State or local information is not included with the Form W-2 information. The IRS may be able to provide this ... New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Vermont ...
[PDF File]Form W-9 (Rev. October 2018)
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participating foreign financial institution to report all United States 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax
[PDF File]Form 433-D Installment Agreement
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Department of the Treasury - Internal Revenue Service. Installment Agreement (See Instructions on the back of this page) Name and address of taxpayer(s) Submit a new Form W-4 to your employer to increase your withholding. Social Security or Employer Identification Number (SSN/EIN) (Taxpayer) (Spouse) Your telephone numbers (including area code)
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