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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL ID: L75D Facility ID: 00324 PART I TO BE COMPLETED BY THE STATE SURVEY

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What is id l75d?

Id l75d is a form used to report income from gambling winnings.

Who is required to file id l75d?

Individuals who have received gambling winnings that meet the reporting threshold.

How to fill out id l75d?

Id l75d can be filled out by providing the required information such as name, address, social security number, and the amount of gambling winnings.

What is the purpose of id l75d?

The purpose of id l75d is to report gambling winnings to the IRS for tax purposes.

What information must be reported on id l75d?

Information that must be reported on id l75d includes the recipient's personal information and the amount of gambling winnings.

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