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Get A Currency And Monetary Instrument Report Treasury Form 4790

WERE YOU ACTING AS AN AGENT ATTORNEY OR IN CAPACITY FOR ANYONE IN THIS CURRENCY OR MONETARY INSTRUMENT ACTIVITY If Yes complete A B and C A. Name B. Address Yes No C. Business activity occupation or profession PERSON IN WHOSE BEHALF YOU ARE ACTING Under penalties of perjury I declare that I have examined this report and to the best of my knowledge and belief it is true correct and complete. 28. NAME AND TITLE 29. SIGNATURE Replaces IRS Form 4790 .

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