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PRINTED: 02/21/2020 FORM APPROVED State of Washington STATEMENT OF DEFICIENCIES AND PLAN OF Correction(X2) MULTIPLE CONSTRUCTION0(1) Provider/SUPPLIER/CUA Identification NUMBER:(X3 DATE SURVEY COMPLETED.
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x5j summary statement is a report summarizing certain financial information.
All individuals or companies who meet the reporting requirements must file x5j summary statement.
To fill out x5j summary statement, one must gather the necessary financial information and submit it according to the instructions provided by the relevant authority.
The purpose of x5j summary statement is to provide a summary of financial information for regulatory or informational purposes.
The information reported on x5j summary statement may include income, expenses, assets, liabilities, and other financial details.
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