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272 MN 10/2015 NEW HAMPSHIRE MEDICAID Page 1 of 2 MEDICAL NECESSITY FOR AMBULANCE SERVICES FORM (HEW 572) (Fee for Service Program Only Not to be Used for Managed Care) *** ALL INFORMATION MUST BE
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272mn 10 New Hampshire is a tax form used to report interest and dividend payments for individuals who received $10 or more in the state of New Hampshire.
Individuals who received $10 or more in interest and dividend payments in the state of New Hampshire are required to file Form 272mn 10.
To fill out Form 272mn 10, individuals must report their interest and dividend payments received in the state of New Hampshire. The form can be completed online or by mail.
The purpose of Form 272mn 10 is to report interest and dividend payments received in the state of New Hampshire for tax purposes.
Individuals must report their interest and dividend payments of $10 or more received in the state of New Hampshire on Form 272mn 10.
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