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(PLEASE PRINT CLEAR AND COMPLETE ALL FIELDS APPLICABLE)PATIENT INFORMATION Patient Name: ___Date of Birth: ___ Age: ___ Sex: Male / FemaleAddress: ___ City: ___ State: ___ Zip Code: ___ Home Phone:

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What is what is a limited?

A limited is a type of business structure that offers limited liability to its owners.

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The purpose of a limited is to protect the personal assets of the owners by limiting their liability to the amount they have invested in the company.

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Information such as the company's financials, shareholder details, director information, and other relevant information must be reported on a limited.

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