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FOR BHF USELL1 2021STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2021) I.DPH License ID Number: Facility

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4003 n rt 1 is a specific tax form used to report certain financial information to the tax authorities, often related to income, deductions, or credits.

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The purpose of 4003 n rt 1 is to collect tax-related information that assists in calculating the taxable income and ensuring compliance with tax regulations.

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Information such as income sources, deductions, credits, and other relevant financial data must be reported on 4003 n rt 1.

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