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Get IRS 943 2013

Statements, and to the best of my knowledge and belief, it is true, correct, and complete. 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 identificatio.

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