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Primary Contact Name BusinessLandowner Name Alternative Contact Name Mailing Address . Information about Form 2441 and its separate instructions is at wwwirsgovform2441 1040A 1040 2441 1040NR OMB No 15450074 20 13 Attachment Sequence No 21 Names shown on return Your social security number Part I Persons or Organiza January 2010 For use by employers corporations partnerships trusts estates churches government agencies Indian tribal entities certain individuals and others OMB No 15450003 Department of the Treasury Internal Revenue Service Legal name of entity or O Box 968022 Schaumburg IL 60196 8022 Cardholder Information Cardholder V ID Number GroupEmployerUnion Name and Number Cardholder V Name Last First Middle DUGKROGHUVLUWKGDWH00 YY DUGKROGHUVGGUHVV Street City State Zip DUGKROGHUV3KRQH1XPEHU Patient I Quarter ending Employer identification number Part I Computation of Ta Line number If the fuel economy (mpg) of the automobile model type is: (a) At least (b) But less than (c) Tax rate (d) Numb Validity and Soundness. The Form Content Distinction. Some students are athletes.. Some athletes are political.. Some students are political.. 1. Some young adults are in high school.. Some high school students are in the 10. ----.-- -- -- FORM 1 -.- .-.-,. ,,-.,, ". -. ... "... .. . ..,. . . . .. .--a .. "-......-.-*-...p- A Note - -All flelds marked in be mandatorily filled. - Income-tax Perman Employment Eligibility Verification Department of Homeland Security U.S. Citizenship and Immigration Services Form I-9 10/21/2019 Page 1 of 3 START HERE: (Employees must complete and sign Sectio What Is the Purpose of Form N-400? Form N-400, Application for Naturalization, is an application to become a naturalized U.S. citizen. If your biological or legal adoptive mother or father is a U.S. c Rev Cambridge Public Schools159 Thorndike Street Cambridge MA 02141 CRIMINAL OFFENDER RECORD INFORMATION CORI ACKNOWLEDGEMENT FORM /Volunteer etc Please print clearly Sex Height ft in OCR 100This form can be used in lieu of the MIOSHA Form 301 Injury and Illness Incident Report It is one of the first forms you must fill out when a recordable work-related injury or illness has occur Form W-2GCat No 10138VCertain Gambling WinningsDepartment of the Treasury - Internal Revenue ServiceCopy A For Internal Revenue Service CenterOMB No 1545-0238For Privacy Act and Paperwork Reduction Ac VII - EDUCATION AND TRAINING AFTER HIGH SCHOOL THROUGH GRADUATE / PROFESSIONAL SCHOOL Continue in Part XI if necessaryIX- INTERNSHIP RESIDENCY AND FELLOWSHIP TRAININGVIII - GRADUATES OF AN INTERNATION STATE OF CALIFORNIA DOCTORS FIRST REPORT OF OCCUPATIONAL INJURY OR ILLNESS Reset Form Within 5 days of your initial examination for every occupational injury or illness send two copies of this report 1 About GLNs Using GLNs ECCnet Locations Implementation Resources Learn More 2 Why should my organization adopt GLNs now? As a key component to standardizing the healthcare supply chain, theCanadi