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Revised 04/01/20Reviewed 10/31/20Financial Assistance Application1. Patient Information Patients Name: ___ First M.I. Last Patients Address: ___ Street City State / Zip Code Patients Phone Number:
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Individuals who are required to update or amend their previously submitted form 040120.
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What is revised 040120?
Revised 040120 is a form used for correcting previously filed tax returns.
Who is required to file revised 040120?
Taxpayers who need to make corrections to their previously filed tax return are required to file revised 040120.
How to fill out revised 040120?
Revised 040120 can be filled out by providing the corrected information in the designated sections of the form.
What is the purpose of revised 040120?
The purpose of revised 040120 is to allow taxpayers to correct any errors or inaccuracies in their previously filed tax return.
What information must be reported on revised 040120?
On revised 040120, taxpayers must report the corrected information as well as any supporting documentation for the changes.
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