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AUTHORIZATION TO PROVIDE PERSONAL CARE SERVICES
NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES/HUBS
SON 663 (2-2012)
By accepting this authorization to Provide Personal Care Services,
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sfn 663 - state refers to a specific form used for reporting state taxes.
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The information that must be reported on sfn 663 - state includes income details, deductions, credits, and any other relevant information as required by the state tax authorities.
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