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PRINTED: 07/13/2021 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 0713 form is a specific tax form used for reporting certain financial information to the tax authorities.
Individuals or entities that meet certain criteria set by the tax authorities and are required to report specific financial information must file the printed 0713 form.
To fill out the printed 0713 form, you should provide the required information accurately, following the instructions provided with the form, including your identification details, financial information, and signature where necessary.
The purpose of the printed 0713 form is to ensure compliance with tax regulations by providing a standardized way to report certain financial activities or income.
The information that must be reported on the printed 0713 form typically includes income details, deductions, credits, and any other relevant financial information as specified by the tax authorities.
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