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Protecting, MaintainingandImprovingtheHealthofAllMinnesotans Electronically delivered January6,2020 Administrator GoodSamaritanSocietyWaconiaAndWestviewAcre 333FifthStreetWest Laconic,MN55387 RE:
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The form refers to a specific document filed with Minnesota state departments on October 23, 2019, typically related to tax or regulatory compliance.
Entities or individuals specified by Minnesota state regulations who meet certain criteria, such as income thresholds or business types, are required to file this form.
To fill out the form, gather the necessary financial information, accurately complete all required fields, and ensure compliance with specific instructions provided by the Minnesota department.
The purpose of the form is to collect necessary information for tax assessment, regulatory compliance, or reporting obligations as required by Minnesota state law.
Typically, the form requires reporting of financial data, tax identification numbers, and other relevant details pertaining to the taxpayer or business entity.
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