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PRINTED: 10/22/2015 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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Printed 1022 department is for reporting income tax withheld on dividends.
The payers of dividends are required to file printed 1022 department.
You can fill out printed 1022 department by entering the required information such as payer's details, recipient's details, and the amount of tax withheld.
The purpose of printed 1022 department is to report income tax withheld on dividends to the IRS.
The information that must be reported on printed 1022 department includes payer's details, recipient's details, and the amount of tax withheld.
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