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FOR BHF USELL1
2005
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2005)I.DPH Facility ID Number:
Facility
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What is chevy chase n ampamp?
Chevy Chase N &Amp; A is a form used for reporting foreign financial accounts.
Who is required to file chevy chase n ampamp?
U.S. persons, including individuals, corporations, partnerships, and trusts, who have financial interest in or signature authority over foreign financial accounts are required to file Chevy Chase N &Amp; A.
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Chevy Chase N &Amp; A can be filled out electronically through the FinCEN BSA E-Filing System.
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The purpose of Chevy Chase N &Amp; A is to report foreign financial accounts to the U.S. Department of the Treasury.
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The form requires information such as the account number, name and address of the foreign financial institution, and maximum account value during the reporting period.
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