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HA01090917Pensions & BenefitsState of New Jersey
Department of the Treasury
Division of Pensions & Benefits (NJ DPB)P.O. Box 299
Trenton, NJ 086250299Coverage Waiver/Reinstatement for Local Government/Educational
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What is ha-0109-0917?
ha-0109-0917 is a tax form used for reporting certain financial information to the government.
Who is required to file ha-0109-0917?
Individuals or businesses meeting specific criteria determined by the tax authorities are required to file ha-0109-0917.
How to fill out ha-0109-0917?
To fill out ha-0109-0917, you will need to provide the required financial information in the designated sections of the form.
What is the purpose of ha-0109-0917?
The purpose of ha-0109-0917 is to ensure accurate reporting of financial information for tax purposes.
What information must be reported on ha-0109-0917?
ha-0109-0917 requires reporting of income, expenses, deductions, and any other relevant financial information.
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