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Get IRS 433-A 2012

A trustee, fiduciary, or contributor of a trust Name of the trust: 10 11 Yes Do you have a safe deposit box (business or personal) (If yes, answer the following) Location (Name, address and box number(s)) Yes Contents In the past 10 years, have you transferred any assets for less than their full value (If yes, answer the following) List Asset(s) Value at Time of Transfer Date Transferred (mmddyyyy) $ www.irs.gov No No EIN: Cat. No. 20312N Value $ Yes No To Whom or Where was it Transfer.

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