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Get and Sign Form Irs 2012
And ending
, 20
D Employer identification number
Address change
Doing Business As
Name change
Number and street (or P.O. box if mail is not delivered to street address)
E Telephone number
Room/suite
Initial return
City, town or post office, state, and ZIP code
Terminated
G Gross receipts $
Amended return
Application pending F Name and address of principal officer:
H(a) Is this a group return for affiliates?
I
Tax-exempt status:
H(b) Are all affiliates included?
Yes
No
If “No,”...
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