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OFFICE USE ONLY FORM #: 105 HOUSEHOLD ID: TICKLER #: CENTRAL APPLICATION PROCESSING CENTER 20126 BALLING ER WAY NE, PMB 151, SHORELINE, WA, 981551290 Phones: (206) 5741248 FAX: (206) 5741241 EFFECTIVE

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Form - kcha is a tax form used for reporting income earned from various sources.

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Individuals and businesses who have earned income during the tax year are required to file form - kcha.

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