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Bill Richardson, Governor Pamela S. Hyde, J.D., Secretary PO Box 2348 Santa Fe, NM 87504-2348 Phone: (505) 827-3103 DEPARTMENTAL MEMORANDUM MAD-MR: 07-17 DATE: November 13, 2007, TO: FROM: ALL MEDICAID

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MR07 17 revision is a form used for the revision of the previous MR07 form submitted by taxpayers.

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Taxpayers who need to make revisions to their previously submitted MR07 form are required to file the MR07 17 revision.

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To fill out the MR07 17 revision form, taxpayers need to provide their updated information and make necessary changes to the previously reported details.

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The purpose of the MR07 17 revision form is to allow taxpayers to correct any errors or update their information on the previously submitted MR07 form.

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The MR07 17 revision form requires taxpayers to report their updated financial information, including income, expenses, and any other relevant details.

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