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Get Recovery Of Overpayment Of Arbitrage Rebate Form

N, or post office, state, and ZIP code 6 Date of issue 7 Name of issue 8 CUSIP number 9 Name and title of officer or legal representative whom the IRS may call for more information Room/suite 10 Telephone number of officer or legal representative ( Part II ) Request for Refund of Amounts Paid Under Rebate Provisions (see instructions) 11 If the issue is outstanding on June 30, 1993, and the issuer elects not to apply the 1992 regulations, check here (see instructions) 12 T.

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