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Student Payroll LEWIS & CLARK Please print or type: Name: First MI Direct Deposit Authorization Last Return this form to Payroll (MSC #72) by the 15th L&C ID Number to guarantee processing for the
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Return this form to the designated tax authority.
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Individuals or entities who have taxable income or meet certain criteria set by the tax authority.
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Income sources, deductions, credits, and any other relevant financial information.
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