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PRINTED: 10/19/2020 FORM APPROVEDIndiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:ASHFORD PLACE HEALTH CAMPUS (X4)

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What is 01222025 Indiana State Department?

01222025 refers to a specific document or form used by the Indiana State Department, likely related to tax filings or business registrations.

Who is required to file 01222025 Indiana State Department?

Individuals or businesses that meet the specific criteria set by the Indiana State Department, possibly including those with taxable income or engaging in certain business activities, are required to file this form.

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To fill out the 01222025 form, follow the instructions provided with the form, which typically includes entering personal or business information, income details, and any relevant deductions or credits.

What is the purpose of 01222025 Indiana State Department?

The purpose of the 01222025 form is to gather necessary information for tax assessment, compliance, or reporting requirements as mandated by the Indiana State Department.

What information must be reported on 01222025 Indiana State Department?

The information that must be reported on the 01222025 form may include identification details, income, deductions, credits, and any other data relevant to the individual's or business's tax status.

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