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Form 2553 2013
Elect in the instructions, all
shareholders have signed the consent statement, an officer has signed below, and the exact name and address of the
corporation (entity) and other required form information have been provided.
Election Information
Name (see instructions)
Number, street, and room or suite no. (If a P.O. box, see instructions.)
B Date incorporated
City or town, state, and ZIP code
Type
or Print
A Employer identification number
C State of incorporation
D
E
Check the applicable...
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