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PATIENT AND CLIENT INFORMATION SHEET OWNER(S) / LASTFIRSTMILASTFIRSTMIADDRESS STREET, RURAL ROUTE, BOX NUMBERCITYSTATEZIP VOICEMAIL EMPLOYMENT / / / EMPLOYERTITLEEMPLOYERTITLETELEPHONE / / HOMEWORKCELLRev.10/13/16PET
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Chapter 3 content refers to the specific information and documentation required by the IRS on Form 1040 or related tax filings that pertains to the reporting of certain income types.
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