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Get IRS 943 2017

Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Paid Preparer Use Only Designee s name Print Your Name and Title Preparer s signature Firm s name Firm s address Date Check if self-employed Firm s EIN For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. No. Personal identification number (PIN) Phone no. Signature Print/Type preparer s name Yes. Comple.

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