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Harris Texas online Form 4972: What You Should Know

Yes No The White House 10 years after your qualified lump sum distribution you received at a later date. You have 10 years to calculate a tax return. Texas Department of State Health Services Do not use this form for non-eligible beneficiaries. The Texas Department of State Health Services Use this form to determine if you are a person or a family and determine whether you have a child as defined under Section 529. The Texas Department of State Health Services Have you applied for a Free Qualified Tuition Grant? Enter 0 for Yes and 1 for No. You must first visit the Texas Department of Higher Education website before you enter a response. The Texas Department of State Health Services Do you have a Social Security Number? Enter your ID number. If you have a Texas Family Leave Card with a Texas Social Security Number you will qualify for additional financial assistance. The Texas Department of State Health Services Enter one spouse with no minor children. The Texas Department of State Health Services If your partner has an eligible child, enter that person. The Texas Department of State Health Services Do you have a Social Security Number? If so, enter your ID number, if you have one. Do you have an eligible parent listed on the TDS HS application? You must first visit the TDS HS website for a child who is not living in Texas to determine eligibility. The Texas Department of State Health Services Have you applied for a Free Qualified Tuition Grant? Enter 0 for Yes and 1 for No. You must first visit the Texas Department of Higher Education website before you enter a response. The Texas Department of State Health Services If you are a dependent, enter “I am a dependent” and enter the name, Social Security Number, and date of birth. If you have a Texas Family Leave Card with a Texas Social Security Number you will qualify for additional financial assistance. The Texas Department of State Health Services Do you have a Social Security Number? If so, enter your Social Security Number and enter the name of the person or persons listed on the application. Do you have an eligible parent listed on the TDS HS application? If so, you must first visit the TDS HS website for a child who is not living in Texas to determine eligibility. The Texas Department of State Health Do you not have a Social Security Number? Enter a US ZIP code instead of your State.

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