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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:15518712/03/2014FORM

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Printed 1016 department usually refers to Form 1099-INT, which is used to report interest income.

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Financial institutions, individuals, and businesses who receive interest income need to file Form 1099-INT.

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You can fill out Form 1099-INT by providing the payer's information, recipient's information, and details of the interest income received.

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Form 1099-INT must include the payer's name, address, tax identification number, recipient's name, address, tax identification number, and the amount of interest income.

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