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Patient Information Last Name First Name Address Date of Birth: Marital Status: Single Race: Asian Black Home Phone APT. M.I. City Maiden State SSN: Zip Language Ethnicity: Circle One Hispanic / NonHispanic
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Marital status refers to the legal status of being married, single, divorced, or widowed.
Individuals who are legally married or divorced are required to report their marital status on their tax returns.
You can fill out your marital status by checking the appropriate box on your tax return form.
The purpose of reporting marital status is to determine eligibility for certain tax credits and deductions.
You must report your current marital status and any changes that occurred during the tax year.
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