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33530 1st Way South, Suite 102 Federal Way, WA 98003 866.348.3800 Office 866.348.3809 Fax PURCHASER/ASSOCIATE QUESTIONNAIRE Name: DDS or DMD (Circle one) Spouse/Significant Other: Home: Mailing Address:
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Consani Associates is a form that must be filed by certain individuals or entities to report financial information.
Individuals or entities meeting specific criteria are required to file Consani Associates. This includes those with certain financial assets or investments.
Consani Associates can be filled out online through the designated platform provided by the relevant regulatory body. The form requires detailed financial information to be accurately reported.
The purpose of Consani Associates is to provide transparency regarding financial holdings and prevent conflicts of interest or unethical behavior.
On Consani Associates, information such as financial assets, investments, income sources, liabilities, and potential conflicts of interest must be reported.
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