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404.5 Attachment III COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTHFUL TOKEN LOG SAFE FILE Facility Cost Center Code Reissued by Designated MessengerTRANSFERRED/REPLENISHED/ COMMENTSNumber of Tokens
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5 attachment iii is a form used for reporting certain financial information to the relevant tax authorities.
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Individuals or businesses meeting specific criteria set by the tax authorities may be required to file 5 attachment iii.
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To fill out 5 attachment iii, one must enter the required financial information in the designated fields accurately.
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