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FOR OF USELL1 2003STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2003)I.DPH Facility ID Number: Facility Name:0020438II.CERTIFICATION
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Fax 708-547-4067 refers to a specific fax number associated with a form or document submission, typically used for filing certain tax-related information or reports.
Individuals or businesses that meet certain criteria set forth by the governing tax authority are required to file this fax. This often includes those reporting specific types of income or qualifying for certain deductions.
To fill out fax 708-547-4067, you need to enter your personal or business information, income details, deductions, and any other relevant data required by the form. Always refer to the guidelines accompanying the form for accuracy.
The purpose of fax 708-547-4067 is to collect necessary information for tax reporting, ensuring compliance with relevant laws and regulations.
The information that must be reported includes personal identification details, financial information such as income and expenses, and any relevant deductions or credits.
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