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Form 14653 online Oregon: What You Should Know

These report include the results of a traffic accident investigation, and the driver's insurance information. Form 14653, Certification by U.S. Person Residing Outside the United States for Streamlined Foreign Offshore Procedures, 1017, 04/13/2018 [Updated 03/12/18] (Download a PDF version) It's important to fill the form before the day the form was issued. If you don't, the IRS agent will ask to see your original Oregon traffic accident and accident and insurance report.  (For the last time : Don't forget to sign the form.) [Updated 01/17/19] Please take a backup copy of the form, or a scan of the cover page of the form. It will help you if you have questions when filling the form. Please take your original receipt from the insurance company, and bring it with you when you fill the Oregon traffic accident and accident and insurance report. Include all the following data on Form 14653: • Insurance information (policy number and name of the policy) • License plate number • Date of accident / date on which the driver was injured in the traffic accident • Vehicle information (make, model, color and license plate number)  • Location where you got in the crash. • The insurance company details (if any).  When filling the form, don't include the date. Just write the date in the blank at the bottom of the form. This is an essential part that must be correctly filled: • Date of traffic accident Form 14653, Certification by U.S. Person Residing Outside the United States for Streamlined Foreign Offshore Procedures, 1017, 04/13/2018  To complete the form, fill the following pages in the order listed, including all areas labeled A-D : Page A — Insurance information: Insurance name & address: Name of the coverage: State: Include both the insurance policy and any other information that applies to the insurance. For instance, if the insurance coverages are to be split into small ones, indicate the small amount separately (e.g., 50,000 for one accident in 50, 0000 policy). Page B — Drivers' information Page C — Name: Driver's license number: Date of birth: Social Security number: State: Include: driver's license number; date of birth (including two “X” marks) and Social Security number.

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