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NEW MEXICO DEPARTMENT OF HEALTH ADULT VACCINE CONSENT FORM **This form is to be used for patients aged 19+ and older ONLY** Revised 02/2018Last Name: First Name: Middle Initial: Birth Date: Mothers
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The New Mexico Department of Revenue is responsible for collecting state taxes and administering tax laws in the state of New Mexico.
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Taxpayers must report income, deductions, credits, and other relevant financial information on their New Mexico tax returns.
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