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Get CA FTB 592 2016

Reparer s address Telephone ( ) 7081163 Form 592 C3 2015 Side 1 Withholding Agent Name: Withholding Agent ID No.: Schedule of Payees (Enter business or individual name, not both.) PRINT CLEARLY Business name m SSN or ITIN m FEIN m CA Corp no. m CA SOS file no. First name Initial Last name m If backup withholding, check the box. Address (apt./ste., room, PO box, or PMB no.) City.

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