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Get the free printed: 01/14/2022 - form approved omb no. 0938-0391

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PRINTED: 12/30/2021 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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The printed 0114-form is a tax form used to report information related to income earned during a specific period of time.
Individuals or entities who have earned income and meet certain reporting requirements are required to file the printed 0114-form.
The printed 0114-form can be filled out by providing accurate and detailed information about the income earned, deductions, and any applicable credits.
The purpose of the printed 0114-form is to report income earned and calculate the tax liability owed to the tax authorities.
Information such as income earned, deductions, credits, and tax liability calculations must be reported on the printed 0114-form.
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