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PRINTED: 12/17/2013 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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The printed 1217 form approved is a tax form used to report income and expenses for a specific period of time.
Individuals or businesses who have income and expenses to report for the period covered by the form are required to file the printed 1217 form approved.
To fill out the printed 1217 form approved, you will need to provide detailed information about your income and expenses, along with any supporting documentation.
The purpose of the printed 1217 form approved is to accurately report income and expenses for tax purposes.
The printed 1217 form approved requires you to report all sources of income, including wages, investments, and other earnings, as well as any deductible expenses.
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