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Fill and Sign the Mwalim Nyerere Medical Certificate Form

Fill and Sign the Mwalim Nyerere Medical Certificate Form

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EFO00090 08-23-10 Instructions for Form ID-40V In the Amount Paid box, enter the amount of payment (check or money order). Enter the taxpayer's name, address, and Social Security Number in the spaces provided. If a joint return is filed, enter the names and Social Security Numbers of both taxpayers. The total amount of tax due must be paid in full. If payment is not postmarked on or before April 18, 2011, the tax due is subject to penalty and interest. Mail to: Idaho State Tax Commission PO Box 83784 Boise ID 83707-3784 CUT HERE F O R M ID-40V EFO00090 08-23-10 Your Social Security Number 2010 IDAHO INDIVIDUAL INCOME TAX PAYMENT VOUCHER Spouse's Social Security Number Amount Paid $ Your first name and initial Last name If a joint return, spouse's first name and initial Last name Address City, State, and Zip Code 00

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