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Get OH TBOR 1 2013

TBOR 1 Rev. 12/13 P. O. Box 1090 Columbus OH 43216-1090 Declaration of Tax Representative Taxpayer s name Business name Address City State ZIP code FEIN or Social Security number Only use Social Security number if requesting individual income tax representative or if business does not have a FEIN. Representative Information Telephone number Fax number E-mail address Authorized Signature The taxpayer identi ed above authorizes the representative identi ed above to represent the taxpayer before th.

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