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Get IRS 843 2011-2021

Ions must be signed by an officer.) Date Signature (spouse, if joint return) Paid Preparer Use Only Date Print/Type preparer s name Firm s name Preparer's signature Firm's address For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Date Check if self-employed PTIN Firm's EIN Phone no. Cat. No. 10180R Form 843 (Rev. 8-2011).

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