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OMB No. 06070422: Approval Expires: 12/31/2006 U.S. DEPARTMENT OF COMMERCE2004 SERVICE ANNUAL SURVEYEconomics and Statistics AdministrationNURSING AND RESIDENTIAL CARE FACILITIES OF C TM OM ARREAFORMSA623ASBUUSCE
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SA-623a is a form used for reporting financial information related to a specific entity.
Entities that meet certain criteria, such as size or type of organization, are required to file SA-623a.
SA-623a must be filled out with accurate financial information, following the instructions provided on the form.
The purpose of SA-623a is to provide a detailed snapshot of the financial status of the reporting entity.
SA-623a requires reporting of income, expenses, assets, liabilities, and other financial data of the entity.
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