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Get Hold Harmless Agreement New York

Ion of the payment of this claim, the Estate will reimburse to the Office of the State Comptroller and the State of New York the amount due to any additional persons who are entitled to these funds. Under penalty of perjury, I certify that the information on this affidavit is true and correct and that the number shown on this affidavit is the correct Taxpayer Identification Number. ESTATE OF *** ESTATE TAX IDENTIFICATION NUM.

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