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Please Print Legibly Name: SSN Address: Birth Date City: Gender State/Zip: Employer Home Phone: Type of work Cell Phone: Spouses Name Work Phone: Spouses Employer Email: Married Female Circle one:
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How to fill out you and responsible party:

01
Start by gathering the necessary information. Make sure you have the full legal name, address, and contact details of both "you" and the responsible party.
02
Next, identify the role of each individual. "You" refers to the person filling out the form, while the responsible party is typically the individual or organization responsible for any financial obligations or decision-making.
03
Double-check the form's instructions to ensure you provide the correct information in the designated fields. Fill out your personal details in the "you" section, including your full name, address, phone number, and any other requested information.
04
In the responsible party section, input the relevant details of the responsible party. This may include their full name, address, phone number, and any additional information required by the form.
05
Review your entries for accuracy and completeness. Ensure all fields are properly filled out and there are no spelling or typographical errors.
06
Lastly, sign the form if required, and submit it according to the provided instructions.

Who needs you and responsible party:

01
Individuals completing various legal or official documents often need to provide information on both "you" and the responsible party. These documents can include tax forms, legal contracts, insurance applications, and more.
02
Businesses and organizations may require their customers or clients to provide information on both "you" and the responsible party. This allows them to establish responsibility and fulfill legal or financial obligations.
03
Government agencies, including tax authorities, may require individuals or businesses to provide information on both "you" and the responsible party to ensure compliance with relevant laws and regulations.

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