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PRINTED: 07/30/2019 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 0207 is a form used by the department of revenue for reporting specific tax information.
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The purpose of printed 0207 is to report income and calculate the corresponding tax liability for individuals and businesses.
Information that must be reported includes total income, deductions, credits, and any other relevant financial data.
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