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Get Form 5558 Extension Rev August 2012

, CENTER SIDES. PRINTS: HEAD TO HEAD PAPER: WHITE WRITING, SUB. 20. INK: BLACK FLAT SIZE: 216mm (8 ) x 279mm (11 ) PERFORATE: (NONE) DO NOT PRINT DO NOT PRINT DO NOT PRINT DO NOT PRINT Date Department of the Treasury Internal Revenue Service Number, street, and room or suite no. (If a P.O. box, see instructions) Signature Revised proofs requested For Paperwork Reduction Act Notice, see instructions on back. Name of filer, plan administrator, or plan sponsor (see instr.

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