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Get the free 06/09/2021 form approved - NC DHHS

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PRINTED: 06/09/2021 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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0609 form approved is a tax form used for reporting information related to excise taxes on wagering.
Any person or business who is involved in receiving wagers is required to file 0609 form approved.
To fill out 0609 form approved, you need to provide information about the total wagers received and the amounts subject to excise tax.
The purpose of 0609 form approved is to report and pay excise taxes on wagers received.
On 0609 form approved, you must report the total wagers received and the amounts subject to excise tax.
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