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1929 Lincoln Hwy Suite 150 Lancaster, PA 17602 P: 717.397.7625 F: 717.397.6057Authorization to Release Patient Informational: / / Patient Name: Date of Birth: / / I, hereby authorize CHI St. Joseph
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p 717 is a tax form used to report income generated from certain sources.
Individuals who have received income from the specified sources are required to file p 717.
To fill out p 717, you will need to provide detailed information about the income received from the specific sources mentioned on the form.
The purpose of p 717 is to accurately report and disclose income generated from the specified sources for tax purposes.
On p 717, you must report the amount of income received from the specified sources, along with any relevant details or documentation.
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