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PRINTED: 11/21/2013 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:AMERICAN VILLAGE (X4) ID PREFIX
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American village refers to a disclosure form required by the government for reporting certain financial information.
Individuals or entities meeting certain criteria set by the government are required to file the american village form.
The american village form can be filled out online or by mail following the instructions provided by the government.
The purpose of the american village form is to increase transparency and accountability by disclosing financial information.
The american village form requires reporting of income, assets, and certain transactions.
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