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New Patient Office Questionnaire Patient Name:___Birthdate: ___Address:___City:___State: ___ Zip: ___Cell: ___Home: ___Work: ___ SS#___ Circle one: Single MarriedDivorcedWidowedOtherPrimary Ins:___
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Circle One Single Married refers to a tax filing status that individuals select on tax forms to indicate whether they are filing as single or married.
Individuals who are either single or legally married must select the appropriate circle on their tax forms to indicate their filing status.
To fill out Circle One Single Married, you must select the appropriate circle on the tax form that corresponds to your filing status, ensuring accurate reporting of your income and deductible expenses.
The purpose of Circle One Single Married is to classify the taxpayer's marital status, which affects tax rates, deductions, and filing requirements.
The information reported includes marital status, total income, deductions, credits, and any other relevant financial details pertinent to the filing status.
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