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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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Who needs ll1 2011 - illinoisgov?
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Various individuals or entities may need to fill out the ll1 2011 form on the illinoisgov website, including:
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- Illinois residents who need to report their state income tax information for the year 2011.
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05
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- Taxpayers claiming credits, deductions, or exemptions specific to Illinois state tax laws for 2011.
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- Any individual or entity that is required to file a state income tax return in Illinois for the year 2011.
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