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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:15572403/25/2013FORM
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Printed 1123 refers to a specific form issued by the Department of Revenue for reporting income or other tax-related information.
Individuals or businesses that meet certain income thresholds or operate in specific industries as defined by the Department of Revenue are required to file printed 1123.
To fill out printed 1123, gather all necessary financial documents, complete each section accurately, and follow the provided instructions specific to the form.
The purpose of printed 1123 is to report specific financial information to the Department of Revenue to ensure compliance with tax regulations.
The information that must be reported includes income, deductions, exemptions, and any applicable credits as specified in the form's instructions.
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