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R Ending December 31, 2011 or Other Tax Year 2011 and Ending City J. Check all boxes that apply: Indiana County or O.O.S. State Initial Return ZIP Code Final Return In Bankruptcy Insurance Co. Page 1 Check box if name changed. Federal Identification Number Principal Business Activity Code Telephone Number Farmer's Cooperative REMIC K. Date of incorporation in the state of L. State of commercial domicile M. Year of initial Indiana return N. Location of reco.
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