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MI R0452C 2018-2025 free printable template

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ENROLLEE NAME LAST FIRST MIDDLE QUALIFYING EVENT ADOPTION SOCIAL SECURITY BIRTH MARRIAGE OTHER DATE OF EVENT MEDICARE INSURANCE COVERAGE Y N IF N LEAVE THIS LINE BLANK MEDICARE NUMBER MEDICARE EFFECTIVE DATES PART A PART B OTHER INSURANCE COVERAGE POLICY CARRIER NAME/COVERAGE TYPE DATE OF BIRTH SEX M F RELATIONSHIP Department of Technology Management Budget R0452C Rev. 12/2018 Authority 1980 P. Toll Free 800-381-5111 Local 517-284-4400 www. michigan*gov/ors Fax 517-284-4416 P. O. Box 30171...
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MI R0452C is a form used in Michigan for reporting individual income tax information, specifically for certain tax credits and deductions.
Individuals who are claiming specific tax credits or deductions that necessitate additional reporting to the state of Michigan must file MI R0452C.
To fill out MI R0452C, taxpayers must provide their personal information, report income details, claim any applicable credits or deductions, and ensure all data is accurate before submission.
The purpose of MI R0452C is to gather detailed tax information for the state of Michigan to verify eligibility for certain tax credits and ensure accurate income reporting.
The MI R0452C requires reporting personal identification details, income figures, specific tax credits being claimed, and any other relevant financial information as instructed on the form.
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