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1. Last Name 2. Patient Number (Soc. Security No.) 3. Address First Name -- MI DO NOT WRITE IN THIS SPACE LABORATORY NUMBER H Submitter Laboratory/Medical Record #: 4. Date of Birth ...........................................................

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What is nc slph t806 form?

The nc slph t806 form is a specific form used for reporting financial information and tax liabilities for North Carolina State Lottery prize winners.

Who is required to file nc slph t806 form?

North Carolina State Lottery prize winners are required to file the nc slph t806 form.

How to fill out nc slph t806 form?

To fill out the nc slph t806 form, you must provide your personal information, including your name, address, and Social Security number, as well as details about your winnings and any applicable taxes.

What is the purpose of nc slph t806 form?

The purpose of the nc slph t806 form is to report and calculate the tax liability of North Carolina State Lottery prize winners.

What information must be reported on nc slph t806 form?

The nc slph t806 form requires reporting of personal information, winnings amounts, and tax liability calculations.