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PRINTED: 03/29/2018 FORM APPROVEDState of Virginia STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X3) DATE SURVEY COMPLETED09/09/2016STREET ADDRESS,

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State of Virginia refers to the annual tax return that individuals and businesses must file with the state of Virginia.

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Individuals and businesses that earn income or have a business presence in Virginia are required to file the state of Virginia.

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The purpose of the state of Virginia is to report income earned in Virginia and calculate any taxes owed to the state.

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You must report income earned in Virginia, deductions, credits, and any other relevant financial information on the state of Virginia form.

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