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FOR BHF USELL1
2012
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2012)I.DPH License ID Number:
Facility
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How to fill out ll1 2012 - illinoisgov
01
To fill out the LL1 2012 form for the Illinois government, follow these steps:
02
Obtain the LL1 2012 form from the official website of the Illinois government or any authorized sources.
03
Carefully read the instructions provided with the form to understand the requirements and gather all the necessary information.
04
Start by providing basic personal information such as your name, address, and social security number.
05
Fill out the sections related to your income. This includes reporting wages, salaries, tips, and any other sources of income as per the given instructions.
06
Calculate and enter any deductions or adjustments you are eligible for, following the guidelines specified.
07
Complete the credits and payments section if applicable.
08
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09
Sign and date the form to certify the provided information.
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Make a copy of the filled LL1 2012 form for your records.
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Submit the completed form either electronically or by mail as instructed on the form or the official website of the Illinois government.
Who needs ll1 2012 - illinoisgov?
01
LL1 2012 form from the Illinois government is needed by individuals who are required to report their income for the tax year specified (2012 in this case).
02
This form is specifically designed for residents of Illinois who need to file their state income tax returns.
03
Any individual who earned income in Illinois during the specified tax year and meets the filing requirements set by the Illinois government should use LL1 2012 form.
04
It is important for taxpayers to determine their filing status, income sources, and eligibility for deductions or credits before determining if they need to fill out the LL1 2012 form.
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