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Get DE 1902(b) 2013

, insert ending date of fiscal year , 20 Name of Corporation Delaware Address Zip Code Mailing Address (if different from above) Zip Code Date and State of Incorporation Employer Identification Number PART- I GENERAL INFORMATION 1. Name and social security number of compensated employees working in Delaware. (Do not include Directors.) Name Social Security Number 2. Full or Part Time Name and FEIN/SSN of owners (individual corporations) of more than 10% of the stock of the corporatio.

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