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Nk) MARGINS: TOP 13mm (1 2 "), CENTER SIDES. PRINTS: HEAD TO HEAD PAPER: WHITE, WRITING, SUB. 20 INK: BLACK FLAT SIZE: 432mm (17") x 279mm (11") FOLD TO: 216mm (81 2 ") x 279mm (11") 3 PERFORATE: ON THE FOLD AND 3 4 " FROM THE BOTTOM DO NOT PRINT DO NOT PRINT DO NOT PRINT DO NOT PRINT Please type or print. File by the due date for filing your return. Date Signature O.K. to print Revised proofs requested Application for Extension of Time To File U.S. Income Tax Return 23.

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