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Separate instructions for Forms 592, 592-A, and 592-B. Part I Copy A Recipient FOR FRANCHISE TAX BOARD SSN Recipient s name Address (number and street) FEIN PMB no. City Province or state Postal code, and country Part II Withholding agent (Payer/Partnership/Limited Liability Company) SSN Withholding agent s (payer s/partnership s/limited liability company s) name FEIN PMB no. Address (number and street) City California corp. no. State ZIP Code D.

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