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PH 803.457.7000/Fax 803.457.7001 Authorization for Release of Protected Health Information Patient Name: Date of Birth Social Security Number Release Records From: Address pH Fax Release Records To:
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PH 803 is a form used to report certain information about taxpayers' interest and dividend income.
Individual taxpayers who have received interest and dividend income are required to file PH 803.
PH 803 can be filled out manually or electronically by providing details of interest and dividend income.
The purpose of PH 803 is to help taxpayers report their interest and dividend income accurately to ensure compliance with tax regulations.
Taxpayers must report details of interest and dividend income received during the tax year on PH 803.
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