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PAYMENT REQUEST From This form is used to instruct Liberty to pay money from your policy. This form has 4 pages. This form must be completed and signed by the policyholder (owner of the policy). We

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What is this form is used?

This form is used for reporting income tax information to the IRS.

Who is required to file this form is used?

Individuals, businesses, and other entities that have taxable income are required to file this form.

How to fill out this form is used?

This form must be filled out accurately and completely, including all income sources and deductions.

What is the purpose of this form is used?

The purpose of this form is to calculate the amount of tax owed or refund due.

What information must be reported on this form is used?

Information such as income, deductions, credits, and withholding must be reported on this form.