On October 1, 2018, the Department of Homeland Security (DHS) released Form DHS 1919, “Report of Foreign Bank and Financial Accounts” (FBAR). The form is available on the DHS website in both English and Spanish. The purpose of Form DHS 1919 is to report any foreign bank and financial accounts (FBARs) held by taxpayers with a total aggregate value of more than $10,000 at any time during the year. U.S. citizens, resident aliens, and certain nonresident aliens are required to file an FBAR if the aggregate value of their foreign bank and financial accounts exceeds $10,000 at any time during the calendar year. To help taxpayers understand this new form, this article provides an overview of who must file an FBAR and what information must be reported on Form DHS 1919.
| Question | Answer |
|---|---|
| Form Name | Form Dhs 1919 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | FIA1919_10574_7 form dhs 1919 |
PARENT’S CONSENT/DENIAL
TO RELEASE INFORMATION TO ADULT ADOPTEE
Michigan Department of Human Services
CENTRAL ADOPTION REGISTRY
•A new statement may be sent to the Central Adoption Registry any time to withdraw a previous consent or to withdraw a previous denial. Release of identifying information will be based on the most recent statement on file in the Central Adoption Registry.
•A parent giving consent should send to the Central Adoption Registry a new statement if either his/her name or address changes.
•A separate form must be filled out for each child for whom you are giving consent/denial.
•Send the original copy to the Central Adoption Registry, address below:
MICHIGAN DEPARTMENT OF HUMAN SERVICES CENTRAL ADOPTION REGISTRY
PO BOX 30037 LANSING MI 48909
FOR OFFICE USE ONLY
Birth Date |
Adoptee’s Birth Name (Last, First, Middle)
I state that I am the |
father |
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mother of the child described below. |
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I hereby |
give consent |
do not give consent* to the release of my name |
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and address to this child when he/she is 18 years of age or older. |
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(*If the denial box is checked, the parent may provide an explanation as to why he/she does not wish to |
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release name and address). |
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Reason: |
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CHILD INFORMATION: |
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Child’s Full Name at Birth (Last, First, Middle) |
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Child’s Birth Date (Month/Day/Year) |
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Child’s City of Birth |
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Child’s County of Birth |
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Child’s State of Birth |
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Child’s Birth Mother’s Name When Parental Rights were Released or Terminated (Last, First, Middle) |
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PARENT INFORMATION: |
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My Current Name (Last, First, Middle) |
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My Birth Date (Mo., Day, Yr.) |
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My Current Address (Street Number and Name) |
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Apartment or Lot Number |
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City |
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State |
Zip Code |
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Telephone Number |
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Signature |
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Date |
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The Department of Human Services (DHS) will not discriminate |
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against any individual or |
group because of race, sex, |
religion, |
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AUTHORITY: MCLA 710.68. |
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age, national origin, color, height, weight, marital status, political |
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COMPLETION: Voluntary. |
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beliefs or disability. If you need help with reading, writing, hearing, |
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PENALTY: None |
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etc., under the Americans with Disabilities Act, you are invited to |
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make your needs known to a DHS office in your county. |
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DISTRIBUTION: ORIGINAL - Michigan Department of Human Services |
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Central Adoption Registry |
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P.O. Box 30037 |
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Lansing, Michigan 48909 |
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COPY - |
Keep for your records. |
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