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Form 763 2019
Security Number Present Home Address Number and Street or Rural Route State of Residence City Town or Post Office State ZIP Code Important - Name of Virginia City or County in which principal place of business employment or income source is located Locality Code from Instructions City OR Your Home Phone Number Filing Election Preparer s FEIN/PTIN/SSN Check Applicable Boxes County Your Business Phone Number I we authorize the Department of Taxation to discuss my our return with my our preparer....
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