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Get IRS 4419 2010

545-0387 Please type or print in BLACK ink. 1. Transmitter information Name Mailing Address City State ZIP 2. Person to contact about this request Name Title Email address Telephone number ( ) 3. Employer Identification Number (EIN) 4. Foreign Transmitter without a TIN 5. Tax year you wish to begin filing electronically *Social Security Number Not Permitted Yes 6. Will you be using your TCC only for transmitting requests for extension of time to file? Yes No 7. Type of Return To Be.

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