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Ficiaire 15 18 ISIN/CUSIP number Num ro ISIN/CUSIP Type code of securities Code de genre de titres 19 16 Quantity of securities Quantit de titres Last name (print) Nom de famille (en lettres moul es) 13 Foreign currency Devises trang res 17 Identification of securities D signation des titres 20 Cost or book value Co t ou valeur comptable Face amount Valeur nominale 22 Type code of securities received on settlement Code de genre de titres re us en guise de r glement 1.

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Publication 1321 (Rev. 10-2025). Special Instructions For Bona Fide Residents Of Puerto Rico Who Form 3903 - Moving Expenses - 1040.com - Knowledge Base Form 15111 (Rev. 3-2025) Publication 547

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