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PRINTED: 04/10/2024 FORM APPROVEDIllinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:MEDINA NURSING CENTER (X4) ID
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2421682il170393 s9999 final o is a specific form used for final reporting by certain taxpayers, detailing various tax-related information as required by law.
Taxpayers who meet specific criteria defined by tax regulations, typically including those who have completed their financial activities for the taxable period and need to report their final status.
To fill out the form, taxpayers must provide accurate financial information, including income, deductions, and any relevant tax credits, following the guidelines laid out in the accompanying instructions.
The purpose of the form is to finalize the tax obligations of the taxpayer for a specific period, ensuring all relevant financial data is accurately reported and allowing for the proper assessment of taxes owed or refundable.
The form requires reporting on total income, applicable deductions, tax credits, and any other pertinent information necessary for accurate tax computation.
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