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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES 01/10/2012 FORM APPROVED CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 0938-0391 STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CIA AND PLAN OF

How to fill out 830 s 6th st

How to fill out 830 s 6th st:

1. Start by writing your full name in the designated space provided. Make sure to write your first name, middle initial (if applicable), and last name accurately.
2. Move on to the address section. Write "830" in the first box, indicating the street number. Then, in the second box, write "s" to represent the street direction (south in this case). Finally, in the third box, write "6th st" to denote the street name.
3. In the next section, fill out the city, state, and zip code. Write the name of the city where 830 s 6th st is located in the designated box. Then, write the two-letter abbreviation for the state. Lastly, input the corresponding zip code for the specific location.
4. Provide any additional contact information if required. This may include a phone number or an email address. Write all necessary details accurately and legibly to ensure proper communication and correspondence.

Who needs 830 s 6th st:

1. Individuals who need to send mail or packages to the specific address of 830 s 6th st may need to know how to fill out the address correctly. This includes anyone sending letters, parcels, or other forms of mail to the recipient residing or working at that address.
2. People who are organizing events or meetings at 830 s 6th st may need to provide the address to attendees or participants. This ensures that everyone can locate the venue conveniently and avoid any confusion when trying to find the correct location.
3. Real estate agents, property developers, or potential buyers interested in purchasing or selling a property located at 830 s 6th st may need to know the complete address to include in their listings, advertisements, or negotiations.

In summary, understanding how to fill out the address of 830 s 6th st correctly is important for anyone who needs to send mail, organize events, or engage in real estate activities related to that specific location.

For pdfFiller’s FAQs

What is 830 s 6th st?

830 S 6th St is a form used by certain individuals or entities to report their financial information to the relevant authorities.

Who is required to file 830 s 6th st?

Individuals or entities meeting specific criteria set forth by the authorities are required to file 830 S 6th St form.

How to fill out 830 s 6th st?

830 S 6th St form can be filled out by providing the requested financial information accurately and submitting it to the designated authority.

What is the purpose of 830 s 6th st?

The purpose of 830 S 6th St form is to ensure transparency and compliance with financial regulations by collecting relevant financial data from the filers.

What information must be reported on 830 s 6th st?

Information such as income, expenses, assets, and liabilities are typically required to be reported on 830 S 6th St form.

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