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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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You may either complete form A or form B.
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All individuals who meet the income threshold are required to file.
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The purpose is to report income and expenses for tax purposes.
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You must report all sources of income, deductions, and credits.
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