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THIS SIDE TO BE COMPLETED BY PHYSICIAN Students Name (PLEASE PRINT) Relevant Health Information Physical Assessment Normal Abnormal Not Examined

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What is this side to be?

This side is a form to report income and expenses for tax purposes.

Who is required to file this side to be?

Individuals, businesses, and organizations that have taxable income and expenses are required to file this form.

How to fill out this side to be?

The form should be filled out with accurate and complete information regarding income and expenses, and any applicable deductions or credits.

What is the purpose of this side to be?

The purpose of this form is to calculate the taxable income of the filer and determine the amount of tax owed to the government.

What information must be reported on this side to be?

Income from all sources, expenses incurred in the production of income, and any deductions or credits that may apply must be reported on this form.

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