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PRINTED: 11/17/2017 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 Form 1117 is a form used by the Department of Revenue or taxing authorities to report specific financial information related to tax obligations.
Individuals or entities who meet certain criteria for tax reporting, such as businesses or taxpayers with specific transactions, are required to file Form 1117.
To fill out Form 1117, taxpayers need to provide their identification information, financial details, and any other required information as per the form's instructions.
The purpose of Form 1117 is to ensure accurate reporting of financial activities for compliance with tax laws and regulations.
Form 1117 typically requires information such as taxpayer identification details, income, deductions, and other financial activities relevant to tax obligations.
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