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03/29/2021PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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v000000 - Indiana is needed by individuals who are required to file their state taxes in the state of Indiana. This form is used to report and pay state income taxes. Any resident or nonresident who has earned income from Indiana sources may need to file this form.
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v000000 - indiana is a form used to report income and deductions for individuals who reside in the state of Indiana.
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