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PRINTED: 06/19/2024 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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In00430611 and in00436683 are forms used for filing tax returns.
Any individual or entity that has income or assets above a certain threshold is required to file in00430611 and in00436683.
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The purpose of in00430611 and in00436683 is to report income, assets, and other financial information to the tax authorities for the purpose of calculating tax liabilities.
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