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Rev 2/12 DPHHS-HPS/BSRx-002 Big Sky Rx Program Application Please fill out only one application but answer the questions separately for you and your spouse if you are married and living together. FAMILY ASSETS This information is used to determine potential eligibility for the Federal program deductibles and premiums. If I knowingly give false information to enroll in Big Sky Rx I understand that I must reimburse Big Sky Rx for any costs incurred. If an audit proves I am over income I know I...
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What is rev 212?
Rev 212 is a form used for reporting certain financial information.
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Individuals and businesses with specific financial transactions are required to file rev 212.
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The purpose of rev 212 is to report financial transactions and ensure compliance with tax regulations.
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Information such as income, expenses, and assets must be reported on rev 212.
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