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Get and Sign Form Apl 002

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Through Friday, during business hours. Taxpayer’s name Social Security Number or Connecticut Tax Registration Number Spouse’s name (if joint liability) Spouse’s Social Security Number Mailing address City, state, and ZIP code Physical address (number and street) (if different from above) City, state, and ZIP code Daytime telephone number Case Identification Number ( Notice Number ) Tax type(s) For the period(s) Name of authorized representative: Attach a copy of Form...
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