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Get Canada HLTH 119 2013

AL HEALTH NUMBER (PHN) BIRTHDATE (MM / DD / YYYY) APPLICANT LEGAL SECOND NAME DAYTIME TELEPHONE NUMBER MAILING ADDRESS: APT / UNIT STREET NUMBER STREET NAME CITY PROVINCE POSTAL CODE FINANCIAL INFORMATION You must file your income tax return by April 30 each year. TAX YEAR 2 This information is from my income tax return for the tax year 0 NET INCOME Enter your net income (from your income tax return or Notice of Assessment) $ , 1 Enter the net income of your spouse .

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