IA 470-0042 2020-2025 free printable template
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State. ia.us. 470-0042 Rev. 1/2020 Instructions for Preparing the Case Activity Report When a current resident applies for Medicaid complete sections 1 2 and 3. Council Bluffs IA 51503-4470 Fax 515-564-4040 email facilities dhs. state. ia.us Note Form 470-2618 Election of Medicaid Hospice Benefit must accompany this Case Activity Report for hospice patients. Case Activity Report Complete this form when a Medicaid applicant or member enters or leaves your facility and when a resident of your...
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What is IA 470-0042?
IA 470-0042 is a form used for reporting certain types of income and tax credits in the state of Iowa.
Who is required to file IA 470-0042?
Individuals and businesses that have certain income types or claim specific tax credits are required to file IA 470-0042.
How to fill out IA 470-0042?
To fill out IA 470-0042, taxpayers should provide their personal information, report the relevant income or credits, and follow the instructions provided in the form.
What is the purpose of IA 470-0042?
The purpose of IA 470-0042 is to ensure proper reporting and taxation of specified income types and to enable the state to administer tax credits.
What information must be reported on IA 470-0042?
IA 470-0042 requires reporting of specific income types, tax credits claimed, taxpayer identification information, and signature affirming the accuracy of the information provided.
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