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Get MD MW506FR

Or sold your business or mail separately if you file electronically. 1. Federal Employer Identification Number: 2. Central Registration Number: 3. Date if Permanently Discontinued: 4. Employer Name: 5. Employer Street Address: City State ZIP code 6. Purchaser s Name and Address if Sold: 7. Date Sold: 8. Person Completing this Form: 9. Telephone Number: 10. Email Address: 11. Signature of Responsible Official: x INSTRUCTIONS FOR FILING Send this form accompanied with the f.

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