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PRINTED: 10/24/2019 FORM APPROVEDState of GA, Healthcare Facility Regulation Division STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:121R1385(X2)
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121-r-1385 is a specific tax form that is used for reporting certain financial information to the relevant tax authority.
Anyone who meets the criteria outlined by the tax authority, typically including individuals or entities with specific financial activities or thresholds.
To fill out 121-r-1385, follow the instructions provided on the form, ensuring that all required fields are completed accurately and all necessary supporting documentation is attached.
The purpose of 121-r-1385 is to provide a structured means for reporting particular financial information to ensure compliance with tax regulations.
The information required includes detailed financial data, including income, expenses, and other specific metrics as mandated by the tax authority.
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