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Get AK Form 355 2013

LLC Zip Code Corporation Sole Proprietor Partnership Other Taxpayer Name Contact Name Contact Title Contact Telephone Fax Number Contact Email 2. ASSIGNEE (Rights Assigned to) Company Name FEIN SSN Mailing Address City State Business Type LLC Zip Code Corporation Sole Proprietor Partnership Other Contact Name Contact Title Contact Telephone Fax Number Contact Email 3. Production Tax Credit Certificate Being Assigned Type of Credit: AS 43.55.023 AS 43.55.

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