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Webof Washington . PO Box 21552 Eagan, MN 55121 . Questions? Call: 800-817-3056 (TTY: 711) Monday through Friday 8 a.m. to 6 p.m. Pacific Time Checklist of required documents If you’re requesting reimbursement for vision hardware (glasses, contacts), please include: Copy of the receipt from your provider WebLine 9. Subtract line 8 from line 7 and enter the result. If the amount you owe on line 9 is greater than $50,000, you cannot file Form 9465 electronically. If the amount you owe on line 9 is greater than $50,000, you must complete Form 433-F, Collection Information Statement, and file it with this form. is lipton part of pepsi
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