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PRINTED: 1/22/2020 FORM APPROVED OMB NO. 09380391DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
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The pdf lexington-court-revised-poc-10-3-19pdf is a court document used in Virginia for filing proof of claim in Lexington court.
Creditors and parties with a claim against an estate or court case are usually required to file this document.
To fill out the document, complete the required fields with accurate information regarding your claim, including amounts and supporting details.
The purpose of this document is to formally notify the court of a claim against an estate or case, ensuring that creditors can seek repayment.
The information that must be reported includes the claimant's details, the nature and amount of the claim, and any supporting documentation.
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