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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:15526512/16/2021FORM
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Printed 1216 is a form used by state tax departments to report specific financial information for tax purposes.
Entities or individuals who meet certain financial criteria and are required to report income or other financial data to the state.
To fill out printed 1216, provide accurate financial data as requested, ensure all sections are complete, and follow any specific instructions provided by the tax authority.
The purpose of printed 1216 is to collect necessary financial information from taxpayers to ensure compliance with state tax laws.
Reporting typically includes income details, deductions, credits, and any other financial data relevant to determine tax liability.
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