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INFORMATIVA - PLANES DE RETIRO Y ANUALIDADES INFORMATIVE RETURN - RETIREMENT PLANS AND ANNUITIES A O CONTRIBUTIVO - TAXABLE YEAR: 200 DD MM AA/YY Enmendado - Amended: ( / / ) Duplicado - Duplicate INFORMACION DEL PAGADOR - PAYER'S INFORMATION N mero de Serie INFORMACION DE QUIEN RECIBE EL PAGO - PAYEE'S INFORMATION N m. de Identificaci n Patronal - Employer Identification Number N m. de Seguro Social - Social Security No. Nombre - Name Nombre - Name Direcci n -.

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