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Commonwealth of Massachusetts Executive Office of Health and Human Services Division of Medical Assistance 600 Washington Street Boston, MA 02111 www.state.ma.us/dma IMS Health TRANSMITTAL LETTER

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What is all-114?

All-114 is a form used to report information about foreign financial accounts.

Who is required to file all-114?

U.S. persons with a financial interest in or signature authority over foreign financial accounts totaling more than $10,000 at any time during the calendar year are required to file all-114.

How to fill out all-114?

All-114 can be filled out online through the Financial Crimes Enforcement Network (FinCEN) website by providing information about the account owner, account details, and maximum value of the account.

What is the purpose of all-114?

The purpose of all-114 is to prevent tax evasion by U.S. persons who have foreign financial accounts and to help the U.S. government track and combat money laundering.

What information must be reported on all-114?

The information reported on all-114 includes the account owner's name, address, account number, foreign financial institution details, and maximum value of the account during the reporting period.

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