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Signature of Patient or Legal Representative If Signed by Legal Representative Relationship to Patient Signature of Witness Date Information sent Form 8691-04 English Rev. 5/13 FO Advance Dir/Consent/Legal. 1325 South Cliff Avenue P. O. Box 5045 Sioux Falls SD 57117-5045 605 322-8000 AUTH REL Patient Identification Patient Name Date of Birth Address City/State/Zip Maiden/Previous Names/Nickname Social Security Number The following individual or organization is authorized to make the...
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Individuals who have specific tax-related circumstances that require the use of this form may need to fill out form 8691 04.
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Form 8691 04 may be necessary for individuals claiming certain credits, deductions, or exemptions, or those with unique tax circumstances, such as those related to foreign income or investments.

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Form 8691 04 is a tax form used for reporting certain transactions on foreign investments and financial assets.
Individuals or entities who have foreign investments or financial assets that meet the reporting requirements must file form 8691 04.
Form 8691 04 can be filled out by providing the required information such as details of foreign investments, financial assets, and other necessary information. The form should be completed accurately and submitted according to the instructions provided.
The purpose of form 8691 04 is to gather information about foreign investments and financial assets to ensure compliance with tax laws and regulations.
Form 8691 04 requires reporting of various information related to foreign investments and financial assets, including details of the investments, income earned, and any applicable tax treaties.
The deadline to file form 8691 04 in 2023 is usually April 15th, but it is recommended to check with the tax authorities for any updates or changes to the deadline.
The penalty for the late filing of form 8691 04 can vary depending on the circumstances, but it may include a percentage of the unpaid tax or a flat fee for each month the form is not filed.
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