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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G62502/12/2016FORM
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W 0000 is based upon the individual's income and tax withholding information.
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Individuals who have income subject to withholding are required to file W 0000.
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W 0000 is filled out by providing personal information, income details, and tax withholding amounts.
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The purpose of W 0000 is to report income and tax withholding to the IRS.
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