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PARTICIPANT AGREEMENT, WAIVER AND RELEASE FORM THIS FORM MUST BE COMPLETED BEFORE ANY PARTICIPATION WILL BE ALLOWED Participants Name: Date of Birth: / / Address: City/State/Zip: Gender (circle one)
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Anyone who is required by law or regulation to provide the information on the form needs to fill it out.
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This form must be a quarterly tax return form.
Individuals and businesses with income that meets the filing requirements.
The form must be filled out completely and accurately, including all income and deduction information.
The purpose of this form is to report income and calculate taxes owed.
Income, deductions, credits, and tax liability must be reported on this form.
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