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FOR BHF USELL1 2016 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2016)I.DPH License ID Number:
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Start by entering the address '304 sw 12th street' at the top of the form.
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Fill out the street number '304' in the designated field.
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Enter 'sw' in the street direction field.
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Fill out '12th' in the street name field.
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Enter 'street' in the street type field.
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Make sure to provide any additional information such as apartment or unit numbers if applicable.
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The person who needs '304 sw 12th street' would depend on the context. It could be someone who is looking for directions, someone who wants to send a package to that address, or someone who is interested in purchasing or renting the property at that location.
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304 SW 12th Street is a physical address located at the intersection of 12th Street and SW Street.
The individual or organization who owns or is responsible for the property located at 304 SW 12th Street is required to file.
To fill out 304 SW 12th Street, you will need to provide information about the property, such as ownership details, property type, and any relevant documentation.
The purpose of 304 SW 12th Street may vary depending on the context. It could be a residential address, a business location, or a landmark.
The information that must be reported on 304 SW 12th Street includes details about the property owner, any tenants or occupants, property taxes, and any relevant maintenance or improvements.
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