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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:15520808/28/2014FORM
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The printed 1211 is a form used by the Department of Revenue to report specific business tax information.
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Businesses and individuals that meet certain income thresholds or operate specific types of businesses are required to file the printed 1211.
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The purpose of the printed 1211 is to collect tax data from businesses and individuals for revenue purposes.
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The printed 1211 must report total income, deductions, taxes owed, and any other relevant financial information.
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