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State of California Health and Human Services Agency California Department of Public Health RON CHAPMAN, MD, MPH Director & State Health Officer EDMUND G. BROWN JR. Governor 2015 MEDICARE PART D PREMIUM

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What is form purpose of this?

Form purpose of this is used to collect information for tax purposes.

Who is required to file form purpose of this?

Individuals and businesses meeting certain criteria are required to file form purpose of this.

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Form purpose of this can be filled out online or by mail with the required information.

What is the purpose of form purpose of this?

The purpose of form purpose of this is to accurately report earnings and expenses for tax calculation.

What information must be reported on form purpose of this?

Form purpose of this requires reporting of income, deductions, and other relevant financial information.

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