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PRINTED: 03/26/2018 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 0326 is a tax form used by certain businesses to report specific revenue and expenses to the department of revenue.

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Businesses that meet certain revenue thresholds or are involved in specific industries are required to file printed 0326.

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Businesses must report total revenue, expenses, deductions, and any other information required by the department on printed 0326.

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