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Get Form 4876-A (Rev. December 2001). Election To Be Treated As An Interest Charge DISC

O. 1545-0190 The corporation named below elects to be treated as an interest charge domestic international sales corporation (IC-DISC) for income tax purposes. All of the corporation s shareholders must consent to this election. Name of corporation A Employer identification number Number, street, and room or suite no. (or P.O. box if mail is not delivered to street address) B Principal business classification (see instructions) City or town, state, and ZIP code C Tax year of IC-DISC: Mu.

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