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OPEN ENROLLMENT 2010 EMPLOYEE BENEFITS APPLICATION State Form 53389 (R / 1009) INDIANA STATE PERSONNEL DEPARTMENT(Please Print)Select Your Enrollment Type: New Hire Qualifying Event/Status Changeable:
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State form 53389 r is a tax form used for reporting certain financial information to the state tax authority.
Individuals or entities meeting specific criteria set by the state tax authority are required to file state form 53389 r.
State form 53389 r can be filled out manually or electronically, following the instructions provided by the state tax authority.
The purpose of state form 53389 r is to gather necessary financial information for tax assessment and compliance purposes.
State form 53389 r typically requires reporting of income, expenses, deductions, and other financial details specified by the state tax authority.
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