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FILED 11/16/21 04:59 PMA211101319A73764LLC12Secretary of State Statement of Information (Limited Liability Company)FILEDIMPORTANT Read instructions before completing this form. In the office of the
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A2111013 1 3 form is a tax document used to report income and deductions for individuals.
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The purpose of a2111013 1 3 form is to accurately report income and deductions to ensure compliance with tax laws and determine the correct amount of tax owed.
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Information such as income sources, deductions, credits, and tax payments must be reported on a2111013 1 3 form.
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