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Patient Name: DOB: MAN: th5230 S. 6 Street, Springfield, Illinois 62703OR PLACE PATIENT STICKER PREAUTHORIZATION TO DISCLOSE/OBTAIN HEALTH INFORMATION I hereby authorize the Lincoln Prairie Behavioral
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What is 5230 s?
5230 s is a tax form used to report certain financial transactions to the IRS.
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Individuals and businesses who engage in specified financial transactions must file 5230 s.
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You can fill out 5230 s electronically or by mail following the instructions provided by the IRS.
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The purpose of 5230 s is to report certain financial transactions to the IRS for tax compliance purposes.
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