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DEPARTMENT OF HEALTH SERVICES Division of Long Term Reinstate OF WISCONSINF01812 (9/2016)WISCONSIN MEDICAID PROGRAM 2016 NURSING HOME COST REPORT Completion of this form is required by Section 1.171
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01
Obtain a copy of IRS Form 2305 San Luis Place.
02
Fill out the personal information section including your name, address, and Social Security number.
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Provide information about the property located at 2305 San Luis Place, including the type of ownership and any relevant details.
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Complete any additional sections as required by the IRS.
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Sign and date the form before submitting it to the IRS.

Who needs 2305 san luis place?

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Individuals who own or have an interest in the property located at 2305 San Luis Place may need to fill out IRS Form 2305.
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