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Revised March 2007 MAP-409 COMMONWEALTH OF KENTUCKY DEPARTMENT FOR MEDICAID SERVICES PRE-ADMISSION SCREENING AND RESIDENT REVIEW (PARR) NURSING FACILITY IDENTIFICATION SCREEN (LEVEL I) Applicant Name
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Map 409 is a form used to report information on foreign employment income.
Individuals who have foreign employment income are required to file map 409.
Map 409 can be filled out online through the tax department's website or submitted via mail.
The purpose of map 409 is to report foreign employment income to the tax authorities.
Information such as the amount of foreign employment income, country of employment, and any taxes paid must be reported on map 409.
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