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M BUSINESS PHONE NO. W DATE OF BIRTH D SEP CELL PHONE NO. PATIENT S MAILING ADDRESS AGE SOCIAL SECURITY NO. WILLIAM G. BUSH M. D. P. L.L.C. The Suites at River Oaks 1020 River Oaks Drive Suite 410 Jackson MS 39232 Phone 601 664-0111 Fax 601 932-1308 PLEASE PRINT OR WRITE LEGIBLY PATIENT S NAME LEGAL MARITAL STATUS S HOME PHONE NO. PATIENT S EMAIL ADDRESS CITY STATE EMPLOYER OCCUPATION ZIP CODE REFFERED BY SPOUSE INFORMATION SPOUSE S NAME SPOUSE S CELL PHONE OTHER PHONE EMERGENCY CONTACT...
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What is bush m?
Bush m is a form used for reporting certain financial transactions to the government.
Who is required to file bush m?
Individuals or entities who engage in the specified financial transactions are required to file bush m.
How to fill out bush m?
Bush m can be filled out online or submitted through the mail using the instructions provided by the government.
What is the purpose of bush m?
The purpose of bush m is to track and deter money laundering and other financial crimes.
What information must be reported on bush m?
Bush m requires information such as the identity of the parties involved in the transaction, the amount of money involved, and the purpose of the transaction.
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