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I DA H 0DEPARTMENTOFHEALTH & WELFARE BRAD LITTLE Governor DAVE JEPPESENDirectorTAMARA PRISOCKADMINISTRATOR DIVISION OF LICENSING & CERTIFICATION DEBBY RANSOM, R.N., R.H.I.T. Chief BUREAU OF FACILITY
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Misty Shurtliff is a tax form used to report information on foreign financial accounts.
US persons including individuals, corporations, partnerships, and trusts who have financial interest in or signature authority over foreign financial accounts must file Misty Shurtliff.
Misty Shurtliff can be filled out online through the FinCEN BSA E-Filing System or by paper form using Form 114.
The purpose of Misty Shurtliff is to report foreign financial accounts to the US government in order to prevent tax evasion.
Information such as the name and address of the financial institution, account number, maximum value of the account during the year, and other related details must be reported on Misty Shurtliff.
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