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Get and Sign Form 1094 C 2016
Province
6 Country and ZIP or foreign postal code
7 Name of person to contact
8 Contact telephone number
9 Name of Designated Government Entity (only if applicable)
10 Employer identification number (EIN)
11 Street address (including room or suite no.)
For Official Use Only
12 City or town
13 State or province
14 Country and ZIP or foreign postal code
15 Name of person to contact
17 Reserved...
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