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Get 1513-0054 (10/31/2007) Department Of The Treasury Alcohol And Tobacco Tax And Trade Bureau Offer In

enforced and administered by the Alcohol and Tobacco Tax and Trade Bureau FOR TTB USE ONLY TO: ADMINISTRATOR, TTB 1. 2. IMPORTANT: SEE REVERSE FOR TERMS AND CONDITIONS OFFER IS (CHECK APPL. BOXES) CASH CHECK T PAYMENT AGREEMENT NAME AND ADDRESS OF PROPONENT TAXPAYER IDENTIFICATION NUMBER AMOUNT SUBMITTED WITH THIS FORM $ DATE CONTROL NUMBER PERMIT LICENSE, OR REGISTRY NO. (If applicable) 3. THIS OFFER IS SUBMITTED BY THE UNDERSIGNED TO COMPROMISE A LIABILITY RESULTING FROM ALLEGED V.

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