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Docket number of proceeding City or town, state, and ZIP code Date Time a.m. Place of other proceedings p.m. Signature Part VI I certify that I have the authority to execute this notice concerning fiduciary relationship on behalf of the nontaxpayer. Please Sign Here Fiduciary s signature Title, if applicable Date Form 56 (Rev. 7-2004) Form 56 (Rev. 7-2004) General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Form 56 cannot be u.

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