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CA DC-204W 2014 free printable template

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Forms Reorder Request Print Form Reset Form For Use with the California Medical Dental (Identical) Program BILLING PROVIDER NAME NPI/BILLING NUMBER FAX THIS REORDER REQUESTS TO: (877) 4017534 MAILING
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CA DC-204W is a form used by California taxpayers to report and manage changes to their tax filings, typically associated with withholding and refundable credits for certain types of income.
Individuals or entities that need to report adjustments to their California withholding tax or claim refundable credits may be required to file CA DC-204W.
To fill out CA DC-204W, taxpayers must provide their identifying information, details of the income involved, any adjustments or corrections needed, and the applicable credits they are claiming.
The purpose of CA DC-204W is to facilitate the accurate reporting and adjustment of tax withheld and credits related to California income taxes, ensuring compliance and proper accounting.
The information that must be reported on CA DC-204W includes taxpayer identification details, income amounts, adjustments to withholding amounts, and any refundable credits being claimed.
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