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Credit Debit Card Payment Authorization Form Please complete all areas below. Incomplete requests may be rejected. This form must be received at least 5 days prior to Checking or by specified date
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This form must be a tax form.
Individuals who meet certain income criteria.
This form must be filled out following the instructions provided by the tax authority.
The purpose of this form must be to report income and tax liability.
Information such as income, deductions, credits, and taxes paid must be reported on this form.
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