Form 3F012, also known as the FBAR form, is a report of foreign financial accounts that must be filed annually with the U.S. Treasury Department by United States citizens and residents who have ownership or signatory authority over foreign financial accounts totaling more than $10,000 at any time during the year. The purpose of this form is to help the U.S. government track down tax evaders and combat money laundering and other financial crimes. Individuals who fail to file this form may face significant penalties, so it is important to understand its requirements and submit it on time. This blog post will provide an overview of Form 3F012 and explain why it is important to file it accurately and on time.
| Question | Answer |
|---|---|
| Form Name | Form 3F012 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | child support application form, child support application, pdf texas child support appointment notice, child support texas application |
Office of the Attorney General
MEDICAL SUPPORT UNIT
P.O. BOX 1328
AUSTIN, TEXAS
FAX (855)
Bar Code Area (w/ FSN)
FS#:
GREG ABBOTT
Attorney General
Date:
Non- Custodial Parent: <F024> <F025> <F026>
Custodial Parent:
OAG Case Number:
Cause Number:
HEALTH INSURANCE STATUS CHANGE FORM
Employers are required to notify the Office of the Attorney General of a change of status of an employee [Texas Family Code, 154.187 and 158.211. Please keep this form for use as needed. If there is a change in the employee’s health insurance or employment status, please complete this form and return it to:
Medical Support Unit
P.O. Box 1328
Austin, TX
If you have any questions, please call (800)
Obligor:
Date of occurrence: ____________________________________Attorney General Case #.
This is to advise of a change in employment status between the above obligor and this employer.
[] The obligor is no longer employed by this employer; income withholding will stop on _______________________
(Notification of withholding interruption must be made within 7 days.)
The obligor’s last known home address: |
The obligor’s new employer name and address if known: |
_______________________________________ |
________________________________________________ |
_______________________________________ |
________________________________________________ |
Telephone Number: _______________________ |
________________________________________________ |
[ ] Health insurance coverage has lapsed.
Notification of insurance interruption must be within 15 days of occurrence.
If the obligor is eligible for health insurance conversion privileges (COBRA), please enclose information.
________________________________________ |
_______________________________ |
Signature of Person Completing Form |
Date Form Completed |
________________________________________ |
________________________________ |
Position / Title |
(Area Code) Telephone Number |
_______________________________________ |
|
Internet/Web Address |
|
April 2014 |
Form 3F012 |