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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G37805/31/2017FORM
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W 0000 is based on the information related to income and taxes.
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Individuals and entities who have paid income to others during the year are required to file W 0000.
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W 0000 should be filled out with accurate information about the income paid and taxes withheld.
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The purpose of W 0000 is to report income paid and taxes withheld to the IRS.
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W 0000 must include information such as the recipient's name, address, social security number, income paid, and taxes withheld.
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