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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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What is 2750 w?
2750 w is a form used by employers to report wages paid to employees and taxes withheld.
Who is required to file 2750 w?
Employers are required to file 2750 w for each employee who received wages during the tax year.
How to fill out 2750 w?
2750 w can be filled out online or manually by entering the employee's information, wages, and tax withholding amounts.
What is the purpose of 2750 w?
The purpose of 2750 w is to report wages and taxes withheld to the IRS and the employee.
What information must be reported on 2750 w?
Information such as the employee's name, address, social security number, wages earned, and taxes withheld must be reported on 2750 w.
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