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Page 1 of 72022 Enrollment Request Form o UnitedHealthcare Dual Complete RP (Regional PPO DSP) R1548001000 UR0Information about you. (Please type or print in black or blue ink) Last NameFirst Name
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Florida Dual Complete Special is a tax form used by individuals who have both Florida and out-of-state income to report and pay taxes on that income.
Any individual who has income from both Florida and out-of-state sources is required to file the Florida Dual Complete Special form.
To fill out the Florida Dual Complete Special form, individuals must gather all income information from both Florida and out-of-state sources and report it accurately on the form.
The purpose of Florida Dual Complete Special is to ensure that individuals with income from both Florida and out-of-state sources are paying their correct amount of taxes.
On the Florida Dual Complete Special form, individuals must report all income from both Florida and out-of-state sources, as well as any deductions or credits they may be eligible for.
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