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ING This return includes fees paid to you (vendor) by a retailer pursuant to a lease agreement. (See instructions on reverse.) COVERED ELECTRONIC DEVICES (CEDs) SOLD OR LEASED 1. Total number of new or refurbished CEDs sold or leased this period 1. 2. Self-consumed new or refurbished CEDs (see instructions on reverse) 2. 3. Total number of items (add lines 1 and 2) 3. CEDs Excluded from the Fee (enter below, on lines 4, 5, and 6, the number of items included in line 3 that are not subje.

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