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MANSFIELD CLINIC/FAMILY HEALTH CENTER Patient name MHN DOB Age Gender Amendment/Correction of Health Information Release of Information Request Page 1 of 1 Patient address Request date (month/day/year)
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9-84514-k is a form used for bankruptcy filings under Chapter 11 of the United States Bankruptcy Code.
Businesses or individuals seeking bankruptcy protection under Chapter 11 are required to file 9-84514-k.
9-84514-k must be filled out completely, accurately, and submitted to the bankruptcy court electronically or in person.
The purpose of 9-84514-k is to provide detailed financial information and proposed reorganization plans to the bankruptcy court.
Information such as assets, liabilities, income, expenses, contracts, and creditors must be reported on 9-84514-k.
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