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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15759605/02/2014FORM
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The printed 0212 form is a document used by the Department of Revenue for tax reporting purposes.
Individuals or entities that have certain tax obligations as specified by the Department of Revenue are required to file the printed 0212 form.
To fill out the printed 0212 form, you need to provide your personal or business information, report income, deductions, and calculate your tax liability according to the instructions provided with the form.
The purpose of the printed 0212 form is to report tax information to the Department of Revenue and ensure compliance with tax laws.
Information that must be reported includes personal details, income earned, any deductions, and the final tax amount due.
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