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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 09380391STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:155348(X2)
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Printed 0915 refers to a specific form or document used by the department for reporting income or financial details in certain situations.
Individuals or businesses that meet certain income thresholds or specific criteria outlined by the department are required to file printed 0915.
To fill out printed 0915, gather all necessary financial documents, follow the instructions provided with the form, ensure accurate reporting of all required information, and review the form before submission.
The purpose of printed 0915 is to collect financial information from taxpayers for proper assessment of taxes owed and to ensure compliance with tax regulations.
Printed 0915 requires reporting of income, deductions, credits, and other relevant financial data as specified by the department.
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