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PRINTED: 03/13/2024 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.

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What is printed 0424 - form?

The printed 0424 form is a tax form used for reporting income and expenses.

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The purpose of the printed 0424 form is to report financial information to the tax authorities for the purpose of calculating taxes owed or refunds due.

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Information such as income, expenses, deductions, credits, and any other relevant financial information must be reported on the printed 0424 form.

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