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PRINTED: 02/16/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:BANNOCK HOME (X4) ID PREFIX

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What is brannock home?

Brannock home is a form used to report household details for tax purposes.

Who is required to file brannock home?

Any individual or household that owns or rents a home is required to file Brannock home.

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Brannock home can be filled out online or by mail using the instructions provided on the form.

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The purpose of Brannock home is to gather information about the household for tax assessment.

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Information such as household members, income, property details, and expenses must be reported on Brannock home.

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