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Rev. A01.2021CCSPHA Application Instructions1. Download and save this form to your computer. 2. Complete application in its entirety prior to submission. All fields highlighted in red must be completed.
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All individuals who meet the income threshold are required to file.
You can fill out the form online or mail it in with all relevant documents.
The purpose is to report income and expenses for tax purposes.
You must report all sources of income, deductions, and credits.
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