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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES NOTICE OF FORM CHANGE NO. 09043 DATE 10302009 TO: FROM: County Welfare Director Supply Clerk / Forms Coordinator
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This form is an IRS form used to report certain transactions occurring after October 3, 2009.
Any individual or entity involved in reportable transactions after October 3, 2009 is required to file this form.
The form must be filled out accurately with all the required information related to the reportable transactions.
The purpose of this form is to report specific transactions to the IRS.
Information related to the reportable transactions occurring after October 3, 2009 must be reported on this form.
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