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Form 5842 May 2012TxHmL Financial Eligibility Information Material to: Access and IntakeorUtilization Management and Review Section ADD Waivers, Program Enrollment Utilization Review P. O. Box 149030,
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Form 5842 is a tax form used for reporting contributions to individual retirement accounts (IRAs).
Individuals who make contributions to IRAs are required to file form 5842.
Form 5842 can be filled out by providing information about the contributions made to IRAs during the tax year.
The purpose of form 5842 is to report contributions to IRAs and determine any tax implications.
Information such as the amount of contributions made to IRAs and the account holders' details must be reported on form 5842.
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