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Get Department Of The Treasury Internal Revenue Service 61 Name As Shown On Return Identification

Dentifies you: 1 Attachment Sequence No. Attach to your Federal income tax return. Name as shown on return Part I OMB No. 1545-1021 61 Identification number as shown on return Buyer Seller General Information To be completed by all filers. Name of other party to the transaction Other party s identification number Address (number, street, and room or suite no.) City or town, state, and ZIP code 2 Date of sale Part II 4 3 Total sales price Assets Transferred To be completed.

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