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FOR OF USELL1
2002STATE OF ILLINOIS
DEPARTMENT OF PUBLIC AID
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2002)I.DPH Facility ID Number:
Facility Name:0005462II.CERTIFICATION
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What is form arthur home?
Form Arthur Home is a document used for reporting information about a home owned by an individual named Arthur.
Who is required to file form arthur home?
Any individual named Arthur who owns a home is required to file form Arthur Home.
How to fill out form arthur home?
Form Arthur Home can be filled out by providing all the required information about the home owned by Arthur in the designated fields.
What is the purpose of form arthur home?
The purpose of form Arthur Home is to report information about the home owned by Arthur for tax or administrative purposes.
What information must be reported on form arthur home?
Information such as the address of the home, value of the home, ownership details, and any relevant financial information must be reported on form Arthur Home.
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