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Form # 11426 (10/15)REFERRAL FORM FOR DOT HOME SLEEP APNEA TEST Patient Name: Date of Birth: Daytime Phone: the Best time to contact? Patient Exhibits / Complains of the following: (Please all that
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Form 11426 1015 is an IRS tax form used for reporting annual information on foreign financial accounts.
Any U.S. person who has a financial interest in or signature authority over foreign financial accounts exceeding certain thresholds is required to file Form 11426 1015.
Form 11426 1015 can be filled out electronically or by mail, and requires detailed information about the foreign financial accounts held by the taxpayer.
The purpose of Form 11426 1015 is to report foreign financial accounts to the IRS to ensure compliance with tax laws and prevent tax evasion.
Form 11426 1015 requires information such as the account number, name of financial institution, maximum value of the account during the year, and more.
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