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*RI0020 AUTHORIZATION TO DISCLOSE HEALTH INFORMATION Patient Name: Date of Birth: Address: Telephone # : Medical Record #: I hereby authorize Long Island Community Hospital to disclose the following
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What is ri0020 - home?
ri0020 - home is a tax form used to report information about a taxpayer's primary residence.
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ri0020 - home can be filled out by providing information such as the address of the primary residence, the date of purchase, and any mortgage interest paid.
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The purpose of ri0020 - home is to report information about a taxpayer's primary residence for tax purposes.
What information must be reported on ri0020 - home?
Information such as the address of the primary residence, the date of purchase, and any mortgage interest paid must be reported on ri0020 - home.
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