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DATE 7t17t2013 TIME '10:37AM PATIENT REGISTRATION Chart LD: ID: Last Name: First Name: ! ! Patient ls: Preferred Name: policyholder Responsible Party (if someone other than the Last Name: First Name:
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Sex e vtate is a form used to report the assets and liabilities of a deceased person's estate.
The executor or administrator of the deceased person's estate is required to file sex e vtate.
Sex e vtate must be filled out accurately and completely, detailing all assets and liabilities of the deceased person's estate.
The purpose of sex e vtate is to provide an inventory of the assets and liabilities of the deceased person's estate for legal and tax purposes.
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