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Alas German, LA DCI, Lucy Self Oath Inc., Referral Form Date of Referral: Referral Source Referring Provider Name Agency Contact Phone # PATIENT DEMOGRAPHIC INFORMATION Patients Name Medical Record
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My self oath inc is a form that individuals use to declare their own income for tax purposes.
Individuals who have income that is not subject to withholding tax are required to file my self oath inc.
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The purpose of my self oath inc is to report your income to the tax authorities and calculate the amount of tax you owe.
You must report all sources of income, including wages, self-employment income, and investment income.
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