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Get Odh Form 953 D

T to the Disclosure Statement This form supplements ODH Form 953-B Disclosure Statement and ODH Form 953-C Detail Attachment to Disclosure Statement. This attachment is to be completed by individuals, members, officers and/or registered agents for the applicant. Notice to Applicant: The Nursing Home, Adult Day Care, and Continuum of Care and Assisted Living Acts, require the applicant to provide, under oath, true and complete information regarding the facility and the applicant. Willfully filing.

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