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Get FinCEN 110 2005-2024

See instructions. OMB No.1506-0012 Send your completed form to: IRS Detroit Computing Center, Attn: Designation of Exempt Person, P. O. Box 33112, Detroit, MI 48232-0112 Part I Filing Information 1 Indicate the type of filing by checking a, b, c, or d (check only one) a Initial designation b Biennial renewal 2 Effective date of the exemption Exemption amended d Exemption revoked / / MM Part II c DD YYYY Exempt Person Information 4 Doing busines.

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