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Get Ct-184-m Amended Return (see Instructions) Employer Identification Number New York State Department

Employer identification number For calendar year 2002 File number Legal name of corporation Check box if overpayment claimed For office use only Trade name / DBA Mailing name and address Date received Mailing name (if different from legal name) and address State or country of incorporation c/o Number and street or PO box City Date of incorporation State ZIP code If your name, employer identification number, address, or owner/officer information has changed, you must file Form DT.

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