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PRINTED: 11/29/2017 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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RT 23 North is a form used for reporting income from sources in the northern region.
Individuals or businesses with income sourced from the northern region are required to file RT 23 North.
RT 23 North can be filled out by providing details of income earned from sources in the northern region in the designated fields.
The purpose of RT 23 North is to accurately report income earned from the northern region for tax purposes.
Information such as income earned from sources in the northern region, name of the payer, and total amount received must be reported on RT 23 North.
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