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Formulario 480. 6B. 1 Estado Libre Asociado de Puerto Rico - Commonwealth of Puerto Rico Departamento de Hacienda - Department of the Treasury 20 Form Rev. 23 sep 13 Liquidador Revisor ESTADO DE RECONCILIACION ANUAL DE INGRESOS SUJETOS A RETENCION Annual Reconciliation Statement of Income Subject to Withholding Investigado por Fecha / / R M Clase de Industria o Negocio Type of Industry or Business N mero de Identificaci n Patronal - Employer Iden.

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