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CUI (when filled in) EYEWEAR PRESCRIPTION (THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974 Use DD Form 2005.)ACCOUNT NUMBERORDER NUMBERDATE (YYYYMMDD)FROM:TO: (Lab)SSNNAME (Last, First, Middle Initial)GRADEADDRESS/UNIT
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This form is designed to collect specific information related to tax obligations and compliance.
Individuals or businesses that meet certain criteria set by the taxing authority are required to file this form.
To fill out this form, follow the provided instructions carefully, entering all required information in the designated fields.
The purpose of this form is to ensure accurate reporting of income and to determine tax liability.
Required information typically includes personal identification details, income, deductions, and credits.
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