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DOC1024 (Rev. 02/2009)DIVISION OF ADULT
INSTITUTIONS
POLICY AND
PROCEDURES DAI Policy #: 500.30.40-Page 1 of 9
Original Effective Date: New Effective Date:
02/15/04
10/01/16
Supersedes: 500.30.40
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5003040 page 1 refers to a specific tax form that is used for reporting income, deductions, or other tax-related information for individuals or entities.
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5003040 page 1 requires reporting personal information, income details, tax deductions, and other relevant financial data.
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