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PRINTED: 12/30/2019 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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x2017-27qv13pdf is a specific form used by the Washington State Department for tax reporting purposes, particularly related to income or business taxes.

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Individuals and businesses operating in Washington State that meet certain income or business activity thresholds are required to file the x2017-27qv13pdf form.

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To fill out the x2017-27qv13pdf form, you need to provide accurate financial information, including income, deductions, and any relevant data as outlined in the instructions provided with the form.

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The purpose of the x2017-27qv13pdf form is to report income and calculate tax liabilities in compliance with Washington State tax laws.

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The information that must be reported includes total income, allowable deductions, credits, and any other relevant financial data as specified in the form's guidelines.

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