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PRINTED: 09/16/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Printed 0916 is a form used by the Department of Revenue to report specific tax information.
Taxpayers who meet certain criteria specified by the Department of Revenue are required to file printed 0916.
Printed 0916 can be filled out manually or electronically, following the instructions provided by the Department of Revenue.
The purpose of printed 0916 is to gather tax information from taxpayers in order to assess and collect taxes accurately.
Taxpayers must report specific income, expenses, and deductions as required by the Department of Revenue on printed 0916.
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