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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15574510/19/2017FORM
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Printed 1019 is a tax form used by the Department of Revenue to report certain types of income.
Individuals and businesses who have received income that needs to be reported to the Department of Revenue are required to file printed 1019.
Printed 1019 can be filled out by providing information about the income received and any applicable deductions.
The purpose of printed 1019 is to report income to the Department of Revenue for tax purposes.
Income received, deductions, and any relevant tax information must be reported on printed 1019.
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