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HA10410419CWA OPEN ENROLLMENT State Health Benefits Program (SHIP) STATE ACTIVE EMPLOYEE GROUPHEALTH BENEFITS ENROLLMENT and/or CHANGE FORM 1. EMPLOYEE INFORMATION Last NameFirstMIDIVISION USE ONLY
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ha-1041-0419indd is a tax form used for reporting income from estates and trusts.
Estates and trusts are required to file ha-1041-0419indd if they have income to report.
ha-1041-0419indd can be filled out manually or electronically following the instructions provided by the IRS.
The purpose of ha-1041-0419indd is to report income, deductions, and credits for estates and trusts.
Information such as income, deductions, credits, and tax liability must be reported on ha-1041-0419indd.
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