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Get Form 8038-GC (Rev. November 2000). Information Return For Small Tax-Exempt Governmental Bond

Number 3 Number and street (or P.O. box if mail is not delivered to street address) 4 City, town, or post office, state, and ZIP code 5 Report number 6 Name and title of officer or legal representative whom the IRS may call for more information 7 Telephone number of officer or legal representative Room/suite 5 ( Part II 8a b 9 a b 10 11 12 Description of Obligations Check if reporting: a single issue ) or on a consolidated basis . 8a Issue price of obligation(s) (see instruction.

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