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592 B Form 2020
Room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)
State
ZIP code
Part III Type of Income Subject to Withholding. Check the applicable box(es).
A m Payments to Independent Contractors
B m Trust Distributions
C m Rents or Royalties
D m Distributions to Domestic (U.S.)
Nonresident Partners/Members/
Beneficiaries/S Corporation Shareholders
E m Estate Distributions
F m Elective Withholding
G m Elective Withholding/Indian Tribe
H m Allocations to...
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