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PRINTED: 08/15/2018 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:PINE KNOLL ASSISTED LIVING CENTER
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Printed 0815 is a form used by the Department of Revenue to report certain tax information.
Taxpayers who meet specific criteria set by the Department of Revenue are required to file printed 0815.
Printed 0815 can be filled out online on the Department of Revenue's website or manually by filling in the required information on the form.
The purpose of printed 0815 is to report tax information to the Department of Revenue in compliance with tax laws.
Printed 0815 requires information related to income, expenses, deductions, and other tax-related items.
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