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FOR BHF USELL1
2018STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2018)
I.DPH License ID Number:
Facility
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What is fax 708 907-7003?
Fax 708 907-7003 is a form used for filing certain information with the IRS.
Who is required to file fax 708 907-7003?
Employers and businesses may be required to file fax 708 907-7003.
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Fax 708 907-7003 should be filled out with accurate and complete information regarding the relevant tax matters.
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The purpose of fax 708 907-7003 is to report specific tax-related information to the IRS.
What information must be reported on fax 708 907-7003?
Information related to income, deductions, credits, and other tax matters may need to be reported on fax 708 907-7003.
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