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Form 1042 S 2010
ITIN
11
▶
Withholding agent’s EIN
EIN
12a WITHHOLDING AGENT’S name
15
Recipient’s foreign tax identifying number, if any
16 Country code
17
NQI’s/FLOW-THROUGH ENTITY’S name
18 Country code
EIN
QI-EIN
QI-EIN
12b Address (number and street)
19a NQI’s/Entity’s address (number and street)
12c Additional address line (room or suite no.)
19b Additional address line (room or suite no.)
12d City or town, province or state, country, ZIP or foreign postal code
19c City or town, province...
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