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Ancillary Order Form Name: DOB: / / MAN: Agency: Fax: Primary Care Provider if not the ordering Provider: Orthotics Dagos Amos Hand Splints Shoe Inserts Other: Right Left Bilateral Therapy Orders
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The misc ancillary form is a form used to report miscellaneous income that does not fit into any other tax form.
Individuals or businesses who have received miscellaneous income of $600 or more during the tax year are required to file the misc ancillary form.
To fill out the misc ancillary form, you will need to provide your personal information, the payer's information, and details of the miscellaneous income received.
The purpose of the misc ancillary form is to report miscellaneous income to the IRS for tax purposes.
You must report the amount of miscellaneous income received, the name and address of the payer, and your personal information on the misc ancillary form.
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