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PRINTED: 01/30/2023 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:THE PINES AT DAVIDSON (X4) ID

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Form Pines at Davidson is a tax form used to report income earned by individuals or entities in Davidson.

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Any individual or entity that has earned income in Davidson is required to file form Pines at Davidson.

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Form Pines at Davidson can be filled out online or by hand. The form requires information about the taxpayer's income and any deductions or credits they may be eligible for.

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The purpose of form Pines at Davidson is to accurately report income earned in Davidson and calculate any taxes owed.

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Form Pines at Davidson requires details about income, deductions, credits, and any other relevant financial information.

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