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Date: MERCY HOSPITAL AND MEDICAL CENTER Application for Financial Assistance Thank you for choosing Mercy Hospital and Medical Center for your healthcare services. To help us determine if you are

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What is 13748 - application for?

13748 - application is used to request an exemption from certain tax payment requirements.

Who is required to file 13748 - application for?

Taxpayers who meet certain criteria and are seeking an exemption from tax payment requirements.

How to fill out 13748 - application for?

The application can be filled out online or submitted by mail with all required documentation.

What is the purpose of 13748 - application for?

The purpose of the application is to request an exemption from tax payment requirements.

What information must be reported on 13748 - application for?

The application requires detailed information about the taxpayer's financial situation and the reasons for seeking an exemption.

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