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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: Navies Medicare Rx P.O. Box 1039 Appleton, WI 549121039 Fax Number: (855) 6688552

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How to fill out Appleton WI 549121039:

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What is appleton wi 549121039?

Appleton WI 549121039 is a tax form used for reporting income to the city of Appleton, Wisconsin.

Who is required to file appleton wi 549121039?

Individuals or businesses who earn income within the city limits of Appleton, Wisconsin are required to file Appleton WI 549121039.

How to fill out appleton wi 549121039?

To fill out Appleton WI 549121039, you will need to provide information about your income sources, deductions, and any taxes that have been withheld.

What is the purpose of appleton wi 549121039?

The purpose of Appleton WI 549121039 is to ensure that individuals and businesses who earn income in Appleton, Wisconsin are reporting their earnings accurately and paying any applicable taxes.

What information must be reported on appleton wi 549121039?

Information such as income sources, deductions, taxes withheld, and any other relevant financial information must be reported on Appleton WI 549121039.