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DEPARTMENT OF HEALTH AND FAMILY SERVICESSTATE OF WISCONSINDivision of Public Health DPH 5092 (Rev.11/07)Chapter 69, Wis. Stats. Page 1 of 2COURT ORDER TO AMEND A WISCONSIN DEATH CERTIFICATE (Except
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DPH 5092 Rev is a tax form used for reporting certain information to the Department of Revenue.
Businesses and individuals who meet certain criteria are required to file DPH 5092 Rev.
DPH 5092 Rev can be filled out either online or by mail, following the instructions provided on the form.
The purpose of DPH 5092 Rev is to collect specific information for tax reporting and compliance purposes.
The information required to be reported on DPH 5092 Rev includes income, expenses, and other financial data.
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