Fillable KEWEENAW BAY INDIAN COMMUNITY Senior Tax Reimbursement Program (Keweenaw Bay Indian Community)

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KEWEENAW BAY INDIAN COMMUNITY Senior Tax Reimbursement Program (Keweenaw Bay Indian Community)

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The KEWEENAW BAY INDIAN COMMUNITY Senior Tax Reimbursement Program (Keweenaw Bay Indian Community) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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KEWEENAW BAY INDIAN COMMUNITY
Senior Tax Reimbursement Program
Printed Name: _________________________________________________
Address: _________________________________________________
_________________________________________________
Enrollment No.: __________
Date of Birth: _____ / _____ / ______
I am requesting reimbursement for my 2020 tax preparation.
□ 2020 Tax Prep □ Home Heating Credit
Who prepared your taxes? __________________________________________
Amount of Request: ______________________
Signature: ___________________________________ Date: _____________
Please allow 12-15 business days for reimbursement to be processed.
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KEWEENAW BAY INDIAN COMMUNITY Senior Tax Reimbursement Program (Keweenaw Bay Indian Community)

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Completed 20 January 2022

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