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Get IRS 943 2012

Anying schedules and 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 Phone no. Signature Print/Type preparer s name Print Your Name and Title Preparer s signature Firm s name Firm s address Yes. Complete the following. Personal identification number (PIN) Date Che.

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