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Applicant name Social Security number (xxx-xx-xxxx) Phone number Effective date (mm/dd/yyyy) Dependent Information Dependent #3 First name Date of birth (mm/dd/yyyy) Last name Social Security number (xxx-xx-xxxx) M.I. Relationship c Son c Daughter M.I. Relationship c Son c Daughter M.I. Relationship c Son c Daughter E-mail address Primary care physician (PCP) name, street, city/town, state and ZIP code Are you a current patient? Dependent #4 First name Date of birth (mm/dd/yyyy).
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ELIGIBILITY FAQ
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The IRS defines a dependent as a qualifying child (under age 19 or under 24 if a full-time student, or any age if permanently and totally disabled) or a qualifying relative.
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Generally, “dependent” refers to an individual who relies on support from another individual and usually cannot exist or sustain themselves independently without the aid or support of someone else. Basically, it is an individual who needs support and their support is contingent from the help of another individual. dependent | Wex | US Law | LII / Legal Information Institute cornell.edu https://.law.cornell.edu › wex › dependent cornell.edu https://.law.cornell.edu › wex › dependent
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Who are dependents? Dependents are either a qualifying child or a qualifying relative of the taxpayer. The taxpayer's spouse cannot be claimed as a dependent. Some examples of dependents include a child, stepchild, brother, sister, or parent. Dependents - IRS irs.gov https://apps.irs.gov › vita › 4491_dependency_exemptions irs.gov https://apps.irs.gov › vita › 4491_dependency_exemptions
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an addition to An addendum is an addition to a finished document, such as a contract. The most common addendum is an attachment or exhibit at the end of such a document. addendum | Wex | US Law | LII / Legal Information Institute cornell.edu https://.law.cornell.edu › wex › addendum cornell.edu https://.law.cornell.edu › wex › addendum
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Written by April Stephenson. A dependent is someone that relies on you financially. This person can be a child or an adult and they can have various relationships to you, but still be classed as a dependent. For example, they could be your child, parent, sibling or partner.
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a child, spouse, parent, or certain other relative to whom one contributes all or a major amount of necessary financial support: She listed two dependents on her income-tax form.
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A dependent is an individual that relies on another person for support, most often financial support. A dependent can be a child, a relative, or any other individual who cannot take care of themselves and relies on another person.
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addendum. n. an addition to a completed written document. Most commonly this is a proposed change or explanation (such as a list of goods to be included) in a contract, or some point that has been the subject of negotiation after the contract was originally proposed by one party. addendum - Legal Dictionary | Law.com law.com https://dictionary.law.com › Default law.com https://dictionary.law.com › Default
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