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PRINTED: 06/28/2016 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:CROWNPOINTE OF LEBANON (X4) ID PREFIX TAG.
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Form 1121 is an approval for printing tax products.
Taxpayers who are printing tax products are required to file Form 1121 for approval.
Form 1121 must be completed with details of the tax product being printed and submitted to the IRS for approval.
The purpose of Form 1121 is to ensure that tax products are printed correctly and in compliance with IRS regulations.
Information such as the name and address of the printer, the type of tax product being printed, and the quantity to be printed must be reported on Form 1121.
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