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PRINTED: 09/19/2019 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 1204 refers to a specific form used by the Department of Revenue for reporting tax information in certain jurisdictions.
Entities such as businesses or organizations that meet specific criteria set by the Department of Revenue are required to file the printed 1204.
To fill out printed 1204, gather all necessary tax information, follow the form's instructions carefully, and ensure accuracy in reporting financial figures.
The purpose of printed 1204 is to report and provide tax information to the Department of Revenue, ensuring compliance with tax laws.
Information required includes income, deductions, and other tax-related information as specified by the Department of Revenue.
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