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PRINTED: 09/19/2016 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Printed 0919 refers to a specific tax form used by the Department of Revenue for reporting various types of income and tax information.
Individuals and businesses that have earned income subject to taxation must file the printed 0919 form.
To fill out the printed 0919, you must provide your personal information, income details, and any deductions or credits that apply. Follow the instructions provided on the form carefully.
The purpose of the printed 0919 form is to report income and calculate the appropriate amount of taxes owed to the state.
Information that must be reported includes personal identification, total income earned, tax deductions, and any applicable credits.
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