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Form Instructions 941 Corona California: What You Should Know

Submit to your own doctor, nurse admin. Include your EIN (Employer Identification Number). Form 5498 — Patient Registration — Advocate (for medical assistance) Submit to your own insurance provider, HMO, etc. Include your employer name. A copy must be sent to you directly. Use our website at or call for more information. Please include this form to notify the Department of Taxation and Financial Institutions, if you have: Employee or Independent Contractor Tax Credit: (Note: Employee Tax Exemption does not apply to individuals with a designated beneficiary; they must file Form W-2.) F5483.pdf: California Employer Tax Information Return F5483B.pdf: Employee Tax Exemption Certificate F7013.pdf: Form 995 Reporting. You can claim the refund as a credit against your California employment taxes for the year in which the refund is received.

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