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This form is effective beginning with the January 1 to June 30, 2017, accounting period (2017/1) If you are filing for a prior accounting period, contact the Licensing Division for the correct form.
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Block 1 typically contains the name of the taxpayer or entity and their identification number.
Individuals, businesses, or entities that meet specific tax criteria are required to file the information as described in block 1.
To fill out block 1, provide the taxpayer's name and identification number in the designated fields, ensuring accuracy and clarity.
The purpose of block 1 is to identify the taxpayer or entity responsible for the filed information.
Block 1 must report the taxpayer's name and their unique identification number.
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