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PRINTED: 07/06/2016 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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What is 7 719 a 212?

7 719 a 212 is a tax form used to report certain foreign income.

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Individuals who have foreign income or assets may be required to file 7 719 a 212.

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You can fill out form 7 719 a 212 by providing accurate information about your foreign income and assets.

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The purpose of 7 719 a 212 is to report foreign income and assets to the tax authorities.

What information must be reported on 7 719 a 212?

Information such as foreign bank accounts, investments, and income must be reported on form 7 719 a 212.

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