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Get Nys Form Fm 107

Organization s Official Name DBA Address City Contact Person Title State Zip Code Contact Person s Telephone Contact Person s EMail Address Contact Person s Fax Organization s Federal ID, Individual s Social Security Number or Municipal Code (1)(2)* SELECT ONLY ONE OF THE FOLLOWING Governmental or Quasi-governmental Agency Limited Liability Company New York Business Corporation Partnership Out of State Business Corporation Individual Not-for-profit Organization (3)*.

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