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PRINTED: 03/14/2024
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION
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What is in00428378 and in00428621?
IN00428378 and IN00428621 are specific tax forms used for reporting income and other financial information to the tax authorities.
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Individuals and businesses that meet certain income thresholds or specific criteria set by the tax authorities are required to file these forms.
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The purpose of these forms is to collect information on income, deductions, and other relevant financial data for taxation purposes.
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Required information typically includes total income, deductions, credits, and other pertinent financial activities for the reporting period.
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