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Authorization to Use or Disclose Protected Health Information Patient name: Date of birth: Previous name(s)/Alias: I. My Authorization Vantage Physicians may use or disclose the following health care
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1 May - vantage is a form used to report information about certain financial accounts held by U.S. taxpayers outside of the United States.
U.S. taxpayers who have a financial interest in or signature authority over foreign financial accounts exceeding certain thresholds are required to file 1 May - vantage.
1 May - vantage can be filled out electronically through the Financial Crimes Enforcement Network's (FinCEN) BSA E-Filing system.
The purpose of 1 May - vantage is to combat money laundering, tax evasion, and other financial crimes by disclosing information about foreign financial accounts.
1 May - vantage requires reporting of the maximum value of each foreign financial account during the calendar year and information about the account holder.
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