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Dtf 4 1 Form
Of taxpayer’s representative (attach power of attorney; see instructions) Telephone number
( )
Partnership
Corporation
Address of taxpayer’s representative
Other
2. Total amount offered (must be more than $0)
$
Is the sum offered in compromise borrowed money?............................................................................................... Yes
(If Yes, enter name and address of lender and list of collateral, if any, pledged to secure the loan)
You do not have...
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