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Get PA NBR-I 2012-2024

CODE __________ 1. FEDERAL IDENTIFICATION NUMBER FOR OFFICIAL USE 2. SOCIAL SECURITY NUMBER 3. LEGAL NAME 4. TRADE NAME 5. BUSINESS PHONE NUMBER 7. BUSINESS MAIL ADDRESS 6. HOME PHONE NUMBER Street Number Street Name City State Fax 8. PITTSBURGH AREA ADDRESS If more than one attach list E – Mail Address Street Number Street Name City State 9. BUSINESS OPERATED AS: _____INDIVIDUAL or a SINGLE MEMBER _____ ASSOCIATION Month Day Zip Code + 4 (include verification with Non-Prof.

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