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FOR BHF USELL1 2009 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2009)I.DPH License ID Number: Facility
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01
Start by gathering all the necessary information about the facility that was purchased, such as its address, purchase date, and cost.
02
Identify the specific purpose of the facility and its intended use. This information should be mentioned in the form.
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Fill out the details about the seller or vendor from whom the facility was purchased. Include their name, contact information, and any relevant identification details.
04
Provide a detailed description of the facility, including its specifications, size, and condition at the time of purchase.
05
Specify the mode of payment used for the purchase, whether it was cash, check, bank transfer, or any other method.
06
If applicable, attach any supporting documents related to the purchase, such as invoices, receipts, or contracts.
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Review the completed form for accuracy and make sure all the required fields are filled correctly.
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Sign and date the form to certify that the information provided is true and accurate.
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Submit the filled-out form to the appropriate authority or department as instructed.

Who needs was form facility purchased?

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Any individual, organization, or business entity that has purchased a facility needs to fill out the Was Form Facility Purchased. This form is typically required by government agencies, accounting departments, or financial institutions to document and track the purchase.

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