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MIA M. CHEN. D.D.S, PETER K. HAN, D.D.S. 2430 &4 /a4d Oct '!/re 5O5 k444rd. E4 94545 ACQUAINTANCE FORM PATIENT INFORMATION PLEASE PRINT CLEARLY Mr ! Mrs.! Miss Ms. ! Date of Birth Apt.# Address Home
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mia m is a financial reporting form used to report information on certain foreign investments.
Anyone who meets the reporting requirements outlined in the form instructions is required to file mia m.
To fill out mia m, you must follow the instructions provided on the form and input the required information accurately.
The purpose of mia m is to provide the government with information on certain foreign investments for regulatory and statistical purposes.
The information required to be reported on mia m includes details on foreign investments made by the filer.
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