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North Carolina Department of Health and Human Services Division of Medical Assistance Medicaid Eligibility Manual AGED, BLIND, AND DISABLED MEDICAID MANUAL COUNTY RESIDENCE MA2221 COUNTY RESIDENCE
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Obtain the ma-2221 county residence form from your local county government office or download it from their website.
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Begin by providing your personal information in the designated areas, including your full name, residential address, phone number, and email address.
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Indicate your county of residence by selecting the appropriate option from the provided list.
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If applicable, provide the names and information of any dependents or family members residing with you.
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Fill in the section that requires you to list your primary occupation or source of income. Provide accurate details regarding your employment or financial situation.
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If you own property in the county, provide the necessary information about the property such as address, ownership details, and any relevant permits.
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MA-2221 county residence is a form used to declare your primary residence county for tax and voting purposes.
All individuals who have a primary residence in a specific county are required to file MA-2221 county residence form.
You can fill out the MA-2221 county residence form online or by mail with the necessary information about your primary residence county.
The purpose of MA-2221 county residence form is to establish your primary residence county for taxation and voting purposes.
You must report your name, address, county of residence, and any other relevant information requested on the MA-2221 county residence form.
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