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Ph: 804.256.8282 Fax: 804.256.8288 7300 Ashlake Pkwy Ste 100 Chesterfield, VA 23832Medical Records Release Request To:___ (Physician and/or Practice)Address: ___ City: ___ State: ___Zip: ___Phone:
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PH 804 is a form used for reporting specific financial information as required by tax regulations.
Individuals or entities that meet certain income thresholds or engage in specific transactions defined by tax laws must file PH 804.
To fill out PH 804, one needs to provide detailed financial information and follow the guidelines laid out in the form's instructions.
The purpose of PH 804 is to ensure compliance with tax regulations and provide the government with necessary financial information for assessment.
PH 804 requires reporting of income, deductions, and other financial data relevant to the tax determination process.
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