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Orange Orthopedic Medical GroupREGISTRATION FORMTodays date:PLEASE INPATIENT INFORMATION Patients last name:First:Middle:Birth Date: /Street address:Marital status (circle one) /Single / Mar / Div.
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The Single MAR DIV (Single Market Dividend) is a reporting document used for tax purposes by individuals with certain types of investment income.
Individuals who receive market dividends and whose tax affairs require reporting of this income must file the Single MAR DIV.
To fill out the Single MAR DIV, one must provide personal identification details, the amount of market dividends received, and any applicable deductions or credits.
The purpose of the Single MAR DIV is to accurately report investment income for taxation and to ensure compliance with tax regulations.
Information required includes the taxpayer's identification details, total market dividends earned, source of the dividends, and any relevant deductions.
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