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Group Disability Insurance The Prudential Insurance Company of America Disability Management Services PO Box 13480, Philadelphia, PA 19176 Tel: 8773677781 Fax: 8778894885 www.prudential.com/forphysicians

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What is 8773677781?

8773677781 is the form used for reporting information related to foreign bank accounts.

Who is required to file 8773677781?

Any U.S. person who has a financial interest in, or signature authority over, foreign financial accounts must file Form 8773677781.

How to fill out 8773677781?

Form 8773677781 can be filled out electronically and submitted online to the Financial Crimes Enforcement Network (FinCEN).

What is the purpose of 8773677781?

The purpose of Form 8773677781 is to report foreign financial accounts and to help prevent tax evasion.

What information must be reported on 8773677781?

Information such as the name of the financial institution, account number, maximum value during the year, and other details about the account must be reported on Form 8773677781.

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