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FOR BHF USELL1
2013
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2013)I.DPH License ID Number:
Facility
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Gather all necessary documents such as your W-2 forms, 1099 forms, and any other tax-related documents.
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Who needs ll1 2014 - illinoisgov?
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Individuals who resided or earned income in the state of Illinois during the tax year 2014.
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