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THIS FORM MUST BE COMPLETED BY THE POLICYHOLDER Public Liability Accident Report Form Claim Reference: Every question should be answered. (The issue of this form is not to be regarded as an admission
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This form is a tax form used to report income earned from various sources.
Individuals and businesses who have income to report are required to file this form.
This form must be filled out accurately and completely, with all income sources reported.
The purpose of this form is to accurately report income earned and calculate the amount of tax owed.
Income from sources such as wages, dividends, interest, and self-employment must be reported on this form.
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