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MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE IMMUNIZATION CERTIFICATE CHILD IS NAME LAST SEX: MALE FEMALE FIRST MI BIRTHDATE / / COUNTY SCHOOL GRADE PARENT NAME OR GUARDIAN ADDRESS PHONE NO. CITY
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The 896 form revised June is a tax form used for reporting information related to certain types of income.
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Individuals or entities who have received certain types of income are required to file the 896 form revised June.
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