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WWW.DiscoveryBenefits.com 8664513399 8884087224 PO Box 869 Fargo, ND 581070869 cobra admin discoverybenefits.com Benefits Termination Form This form is used to terminate one or more benefits. If participating
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This form is used for reporting income and expenses related to business activities.
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Any individual or entity engaged in a trade or business must file this form.
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The purpose of this form is to accurately report business income and expenses for tax purposes.
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