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FOR BHF USELL1
2011
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2011)I.DPH License ID Number:
Facility
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01
Step 1: Start by downloading the LL1 2011 form from the official website of Illinois.gov.
02
Step 2: Gather all the necessary information and documents required to fill out the form, such as personal identification, income details, and any supporting documents.
03
Step 3: Carefully read the instructions provided with the form to understand the requirements and guidelines for filling it out.
04
Step 4: Begin filling out the LL1 2011 form by entering your personal details, including your name, address, social security number, and other relevant information.
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Step 5: Provide accurate details regarding income, deductions, credits, and any additional information required as per the form's instructions.
06
Step 6: Double-check all the information filled in to ensure accuracy and completion.
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Step 7: Sign and date the form where indicated to certify the accuracy of the provided information.
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Step 8: Make a copy of the filled-out LL1 2011 form for your records.
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Step 9: Submit the completed LL1 2011 form to the designated authority as specified by Illinois.gov, either by mail or electronically.
10
Step 10: Keep a copy of the submission receipt or any acknowledgment received for future reference.
Who needs ll1 2011 - illinoisgov?
01
Individuals who are residents of Illinois and are required to file income tax returns for the year 2011 need to fill out the LL1 2011 form. This form is specifically designed for Illinois residents to report their income, deductions, credits, and other relevant information to determine their tax liability or refund for that particular year.
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