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Glacier Ear, Nose & Throat, Head & Neck Surgery Patient Informational Date:Account #:Patients SSN:First Name:MI:Last Name:Mailing Address: City:State:Zip:Date of Birth:Age:Sex:Marital Status:Spouses
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The Glacier EAR (Exceptions and Additional Reporting) is a form used by non-resident aliens in order to report income from sources in the U.S. and to claim any tax treaty benefits.
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