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CONSENT/AUTHORIZATION FORM Walter L. Taylor Iii, M.D. Southwest Neurology, P.A. 6701 Heritage Parkway, Suite 110 Rockwell, TX 75087 Telephone (972) 4128700 Fax: 9724129700 DATE CONSENT FOR TREATMENT
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Taylor III M is a form used for reporting information on certain foreign financial accounts.
U.S. persons with financial interest in or signature authority over foreign financial accounts exceeding certain thresholds are required to file Taylor III M.
Taylor III M can be filled out electronically through the Financial Crimes Enforcement Network's BSA E-Filing System.
The purpose of Taylor III M is to combat money laundering, terrorist financing, and other financial crimes by requiring the disclosure of foreign financial accounts.
Taylor III M requires reporting of details about the foreign financial account, including the account number, value, and the financial institution where the account is held.
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