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Get MD Form 502V 2022-2024

Name MI Last name Social Security Number Qualifying Organization* * Qualifying Organizations are nonprofit volunteer fire companies and other organizations qualified under Section 170 of the Internal Revenue Code, whose principal purpose or function is to provide medical, health or nutritional care. 1. 2. 3. 4. 5. 6. 7. 8. 9. Total mileage incurred in providing qualifying services from 01/01/22 to 06/30/22. . 1. Multiply line 1 by 58.5 (.585) and enter that amount here. . . . . . . .

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