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Broker of Record Letter (To be submitted on client company letterhead only) Attention: Date: dd/mm/yyyyName of Fallon Health Account Managerial Fallon Health/Fallon Health & Life Assurance Company,

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What is to be submitted on?

The submission is for financial statements.

Who is required to file to be submitted on?

All companies are required to file their financial statements.

How to fill out to be submitted on?

The financial statements should be filled out following the applicable accounting standards and guidelines.

What is the purpose of to be submitted on?

The purpose of submitting financial statements is to provide transparency and accountability regarding the company's financial performance.

What information must be reported on to be submitted on?

The financial statements should include balance sheet, income statement, cash flow statement, and notes to the financial statements.

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