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4 3a PAT. CNT # b. MED. REC. # 2 1 6 5 FED. TAX NO. 8 PATIENT NAME 9 PATIENT ADDRESS a 10 BIRTHDATE 11 SEX 31 OCCURRENCE CODE DATE 12 DATE a c ADMISSION 13 HR 14 TYPE 15 SRC 16 DHR 17 STAT 32 OCCURRENCE
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3a pat is a tax form used in some jurisdictions to report information about certain types of income.
Individuals who have income that falls under the categories specified in the tax laws of the jurisdiction.
3a pat can usually be filled out either online or by mail, following the instructions provided by the tax authority.
The purpose of 3a pat is to ensure that individuals report all relevant income and pay the appropriate amount of tax on it.
Information such as income sources, amounts earned, deductions, and credits may need to be reported on 3a pat.
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