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[PDF File]Form W-9 (Rev. October 2018)
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Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2. Business name/disregarded entity name, if different from above. 3. Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only . one. of the following seven boxes. Individual/sole ...
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[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
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[PDF File]2018 Form 8938 - Internal Revenue Service
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If you reported specified foreign financial assets on one or more of the following forms, enter the number of such forms filed. You do not need to include these assets on Form 8938 for the tax year.
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Report of Multiple Sale or Other Disposition of Pistols ...
Instructions. 1. Federal Firearms Licensees (FFLs) must use this form to report all transactions in which an unlicensed person acquired any combination of two or more
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[PDF File]5304-SIMPLE Savings Incentive Match Plan Form for ...
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terminates a salary reduction election not in accordance with 2b may not resume salary reduction contributions during the calendar year. Article III—Contributions (complete the blank, if applicable—see instructions) 1 Salary Reduction Contributions.
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[PDF File]MEDICARE ENROLLMENT APPLICATION
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• Previously enrolled in Medicare and you need to reactivate your Medicare billing number to resume billing. • Currently enrolled in Medicare and need to enroll in another Medicare Administrative Contractor’s (MAC’s) jurisdiction (e.g., you have opened a practice location in a geographic territory serviced by another MAC).
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[PDF File]Form I-693, Report of Medical Examination and Vaccination ...
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If you or the civil surgeon do not completely fill out this form according to the instructions USCIS may deny your immigration benefit. Part 3. Interpreter's Contact Information, Certification, and Signature. Provide the following information about the interpreter, if you used one. 1.
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[PDF File]Request for Leave or Approved Absence
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Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN))
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[PDF File]Form 4506 Request for Copy of Tax Return
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Form 4506 (March 2019) Department of the Treasury Internal Revenue Service . Request for Copy of Tax Return Do not sign this form unless all applicable lines have been completed.
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[PDF File]2018 Instructions for Form 1120 - Internal Revenue Service
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Instructions for Form 1120 U.S. Corporation Income Tax Return Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue ... on pages that would otherwise be blank. You can help bring these children home by looking at the photographs and calling 1-800-THE-LOST (1-800-843-5678) if you recognize a child.
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Blank fill in resume pdf