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FOR OF USELL1
2001STATE OF ILLINOIS
DEPARTMENT OF PUBLIC AID
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2001)I.DPH Facility ID Number:
Facility Name:0031740II.IMPORTANT
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What is darryl e?
Darryl E is a form used to report information about individual retirement account (IRA) distributions.
Who is required to file darryl e?
Financial institutions that administer IRAs are required to file darryl e.
How to fill out darryl e?
Darryl E can be filled out electronically or by paper, providing information such as the recipient's name, address, and account number.
What is the purpose of darryl e?
The purpose of darryl e is to report taxable distributions from IRAs to the IRS and the recipients.
What information must be reported on darryl e?
Information such as the amount of the distribution, federal income tax withheld, and any early withdrawal penalties must be reported on darryl e.
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