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Get IRS W-12 2012

About Form W-12 and its separate instructions is available at www.irs.gov/w12. 1 Name and PTIN First name (Print in ink or Type) Middle name Last name Initial application Renewal application (Enter PTIN: P Street address. Use a P.O. box number only if the post office does not deliver mail to your street address. 2 Personal Mailing Address and Phone Number City or town, state/province, and, if outside U.S., country. Include ZIP or postal code where appropriate. Do not abbreviate name of count.

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