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NEW YORK STATE DEPARTMENT OF HEALTH Office of Health Insurance Programs SelfDeclaration of Income Name: App. Reg/Case #: Social Security Number: XXXXXAddress: STREET CITY STATE ZIP CODE Complete the

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What is self-declaration of income?

Self-declaration of income is a document in which an individual declares their income and provides information about their financial situation.

Who is required to file self-declaration of income?

Individuals who earn income from various sources such as salaries, investments, or business profits are required to file self-declaration of income.

How to fill out self-declaration of income?

Self-declaration of income can be filled out by providing accurate information about income sources, amounts, and any deductions or exemptions that may apply.

What is the purpose of self-declaration of income?

The purpose of self-declaration of income is to report accurate financial information to tax authorities and ensure compliance with tax laws.

What information must be reported on self-declaration of income?

Information that must be reported on self-declaration of income includes income sources, amounts, deductions, exemptions, and any other relevant financial details.

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