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Tel 800.362.0700 fax 610.965.6962 www.penntreaty.com FACILITY CERTIFICATION OF CARE FOR INITIAL CLAIM Please print clearly using blue or black ink Resident Identification Name Policy # DOB / / Part
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0700 fax 610 is a tax form used for reporting certain types of income to the tax authorities.
Individuals or businesses that have received income that needs to be reported on 0700 fax 610 are required to file this form.
To fill out 0700 fax 610, you will need to provide information about the income received and any applicable deductions or credits.
The purpose of 0700 fax 610 is to report income to the tax authorities and ensure compliance with tax laws.
Information such as the type of income received, the amount of income, and any deductions or credits that apply must be reported on 0700 fax 610.
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