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Patient name: How did you hear about us? Lives (circle one):in assisted living with a relativealoneCurrent address (include name of assisted living or independent living facility if applicable):Current
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Lives Circle One is a form used to report information about individuals with foreign financial accounts.
Any individual who meets the filing requirements outlined by the IRS is required to file Lives Circle One.
Lives Circle One can be filled out electronically through the FinCEN BSA E-Filing System.
The purpose of Lives Circle One is to report foreign financial accounts to the IRS.
Information such as account numbers, account balances, and the location of the foreign financial institution must be reported on Lives Circle One.
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