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PRINTED: 04/25/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.

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Carolina House is a state specific tax form used for reporting real property ownership.

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All homeowners who own real property in Carolina are required to file Carolina House.

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The purpose of Carolina House is to ensure accurate reporting of real property ownership to assess property taxes.

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Information such as property owner's name, address, property value, and any changes in ownership must be reported on Carolina House.

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