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This video tutorial outlines the proper business formatting for letters longer than one page. It emphasizes starting with the dateline approximately two inches from the top margin while maintaining the standard one-inch top margin for continuous pages. If the letter nearly fits on one page, the top margin can be adjusted to fit it properly. Side margins should remain at one inch. The text should follow the conventions outlined in previous lessons on basic letter formatting. The letter includes a subject line but should not phrase it as "Subject." Instead, for a reference line, use "e:" followed by the reference, often incorporating the patient's name for medical correspondence. The tutorial also demonstrates how to format lists within the letter.