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Get Electronic Tax Administration Advisory Committee Membership Application Please Complete This

Of the ETAAC may not be federally registered lobbyists. Internal Revenue Service ETA and Refundable Credits ETAAC Analyst (C4-213) SE:W:ETARC:S:RM 5000 Ellin Road (M/S C4-470) Lanham, MD 20706 e-mail Address: etaac irs.gov -or- You may also fax your application to: 202.283.2845 PART I Maiden name or other name(s) used and date(s) (required for FBI check) Name Home Address Home telephone number Zip Code City State Date of birth (required for FBI check) City and State of Birth (required.

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