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PRINTED: 06/19/2019 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Individuals who are required to provide information related to division of assets or properties as of 2019-06-19.
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The form-manor-06-19pdf is a division of the form for manor examination.
The individuals responsible for managing manors are required to file form-manor-06-19pdf.
Form-manor-06-19pdf can be filled out online or by hand, following the instructions provided on the form.
The purpose of form-manor-06-19pdf is to report the division of assets and liabilities within a manor.
On form-manor-06-19pdf, details of the assets, liabilities, and their division must be reported.
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