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Get Form 1120-SF (Rev. September 1996). U.S. Income Tax Return For Settlement Funds (Under Section 468B)

19 , and ending Name of fund OMB No. 1545-1394 , 19 . Employer identification number of fund (see instructions) Number, street, and room or suite no. (If a P.O. box, see instructions.) City or town, state, and ZIP code Name and address of administrator (see instructions) Check applicable boxes: Part I Final return (2) Change of address Income Deductions 7 8 9 10 11 12 13 14 Trustee/administrator fees Taxes Accounting and legal services (attach schedule) Notification of claimant.

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