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MICHAEL L. MANY, MD MARIANNE PEACOCK, CNP 1115 S. Union Street Traverse City, MI 49684 Form Revised 1/18/2016New Patient History FormTodays Date:Name:(Last)(First)(MI)(Maiden)Address:Birthdate:(MM/DD/YYY)Age:
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Form revised 118 new is a tax form used for reporting specific financial information as required by the tax authorities.
Individuals and businesses that meet certain income thresholds or engage in specific financial activities are required to file form revised 118 new.
To fill out form revised 118 new, follow the instructions provided on the form, ensuring to enter accurate financial information, personal details, and sign where indicated.
The purpose of form revised 118 new is to ensure compliance with tax regulations by collecting necessary financial data for assessment and taxation.
Information that must be reported on form revised 118 new includes income details, deductions, credits, and other relevant financial data.
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