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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CIA AND PLAN OF CORRECTION 04/27/2011 FORM
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Start by downloading the K0000-K0000 form from the official website of your state's department of revenue or taxation. The form may also be available at local government offices or tax preparation centers.
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k0000 k0000 - state is a form for reporting state taxes.
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