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Form 8869 Rev September , Fill in Version 2023
Filed
5
6 Telephone number of officer or legal
Name of officer or legal representative whom the IRS may call for more information
Part II
representative (
)
Subsidiary Corporation for Which Election is Made (For additional subsidiaries, see instructions.)
8 EIN (if any)
7a Name of subsidiary
9 Date incorporated
b Number, street, and room or suite no. (if a P.O. box, see instructions)
c City or town, state, and ZIP code
10 State of incorporation
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12 Did the subsidiary previously...
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