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FOR OF USELL1 2001STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2001)I.DPH Facility ID Number: Facility Name:0041715II.IMPORTANT

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R 4 box 195 refers to a specific reporting requirement on tax forms in the United States, typically related to information about specific types of payments made during the tax year.

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Entities that make certain payments to individuals or businesses, such as nonemployee compensation, are required to file r 4 box 195 as part of their tax reporting obligations.

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To fill out r 4 box 195, you need to provide the recipient's name, address, and taxpayer identification number, the amount paid, and any other required information as specified in the tax guidelines.

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The purpose of r 4 box 195 is to ensure that the IRS has accurate information regarding certain payments made to individuals or businesses for proper tax reporting and compliance.

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The information required includes the total amount paid, the name and address of the payee, the payee's Tax Identification Number (TIN), and any applicable withholding amounts.

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