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Get Print Tax Form 3949 A

Name 2. Business Name a. Street Address a. Street Address b. City/State/ZIP b. City/State/ZIP c. Social Security Number (SSN) c. Employer Identification Number d. Occupation d. Principal Bus Activity e. Date of Birth 3. Marital Status Married Head of Household Single Divorced Separated 3a. Name of Spouse 4. Alleged Violation of Income Tax Law (Check all that apply). False Exemption Failure to Withhold Tax Unsubstantiated Income Unreported Income False Deductions Kickback Narcotics I.

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