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FOR BHF USELL1 2015 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2015)I.DPH License ID Number: Facility
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Fax 709 720-4934 is a form used for reporting certain gifts or bequests received during the tax year.
Individuals who have received gifts or bequests exceeding a certain amount are required to file fax 709 720-4934.
Fax 709 720-4934 can be filled out by providing information about the donor, the recipient, the amount of the gift or bequest, and any applicable exemptions.
The purpose of fax 709 720-4934 is to report gifts or bequests to the IRS for tax purposes.
Information such as the name and address of the donor, the relationship to the recipient, the amount of the gift or bequest, and any exemptions claimed must be reported on fax 709 720-4934.
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