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NC DUB Pharmacy Request for Prior to Approval 8% Gel Recipient InformationDMA0102 (V.01)1. Recipient Last Name: 2. First Name: 3. Recipient ID # 4. Recipient Date of Birth: 5. Recipient Gender: Payer
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IRS Form 1042-S is used by a withholding agent who pays income to foreign persons.
Any withholding agent who has made payments of certain types of U.S. source income to foreign persons must file IRS Form 1042-S.
To fill out IRS Form 1042-S, the withholding agent must provide information about the recipient of the income, the type of income paid, and the amount of withholding.
The purpose of IRS Form 1042-S is to report income paid to foreign persons and the withholding tax applied.
Information such as the recipient's identifying information, the type of income paid, the amount of income, and the amount of withholding must be reported on IRS Form 1042-S.
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