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Sally Markley ATR LPC 2561-2 E. Ft. Lowell Rd. Tucson AZ 85716 520 903-8877 Patient Registration Information Child/Family Services Date Child s Name DOB AGE Address City State Zip School Grade Teacher District Medical Doctor Phone Fax Mothers Name DOB Phone Email Siblings Name s /DOB/Age Marital/Custody Status of Parents Please additional form for separate households Payment/Insurance Information EAP Name of EAP Name of Employer Pre- Authorization Phone Fax Authorized Number of Sessions...
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Individuals who have received income from wages, salaries, pensions, or annuities and are required to report this income.
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Those who have received taxable dividends or interest income.
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2561-2 e is a form used for reporting income tax in Thailand.
Individuals or entities with taxable income in Thailand are required to file 2561-2 e.
To fill out 2561-2 e, you need to provide details of your income, deductions, and tax payments.
The purpose of 2561-2 e is to report taxable income and calculate the amount of tax owed to the government.
Information such as income sources, deductions, and tax payments must be reported on 2561-2 e.
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