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INSTRUCTIONS This form must accompany the submitted Ignition Interlock Application. SECTION 1: DRIVER/PATIENT INFORMATION PATIENT NAME (Last, First, Middle) (Print.) MAILING ADDRESS CITY STATE ZIP
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This form must accompany a completed tax return.
Individuals and businesses who are required to report specific information to the IRS must file this form.
This form must be filled out accurately and completely, following the instructions provided by the IRS.
The purpose of this form is to provide additional information or clarify details on the tax return.
Details such as income sources, deductions, and credits may need to be reported on this form.
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