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Get NY NYC-1127 2016

SIGNATURE OF PREPARER OTHER THAN TAXPAYER EIN OR SSN OR PTIN DATE PREPARER S EMAIL ADDRESS PREPARER S PRINTED NAME ATTACh A CoMPlETE CoPy oF yoUR NEw yoRk STATE INCoME TAx RETURN INClUDINg All SChEDUlES Payment must be made in U.S. dollars, drawn on a U.S. bank. 80011691 ADDRESS Al.

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