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Get CO DR 6596 2017-2021

Financial information, and to determine how you are best suited to pay your outstanding tax liability. Be sure to write clearly and do not leave any area blank. If additional space is needed, please attach a separate sheet that includes your name, social security number and clearly classify the additional information according to the areas below. Account Number, if known Taxpayer Information Date (MM/DD/YY) Taxpayer Name SSN DOB Spouse Name SSN DOB Address City State Daytime Phone.

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