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Mailing Address Check if new address City State Contact Email Address Zip Code Contact Telephone Number Contact Fax Number Return Information (check applicable boxes) Final Alaska return Exempt organization with UBTI S Corporation (attach Form 1120S) Consolidated Alaska return Public Law 86-272 applies Personal Holding Company Amended return HOA filing Form 1120-H Cooperative Association Federal extension is in effect If amended return box above is checked, then check the foll.

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