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Fill and Sign the Ct 1041 1999 Connecticut Income Tax Return for Trusts and Estates Form

Fill and Sign the Ct 1041 1999 Connecticut Income Tax Return for Trusts and Estates Form

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EMBASSY OF THE KYRGYZ REPUBLIC affix the photo here 2360 Massachusetts Ave, Washington, DC 20016 Tel: (202) 338-5141 / (202 ) 742 6602; Fax: 202 742 6501 E-mail: Consul@kyrgyzembassy.org VISA APPLICATION FORM (Application form must be typed or written in block letters) Citizenship: United States Passport number: Type: Regular Expiration date: Last name (in capital letters) First Middle name(s) Date of Birth: Place of Birth: Sex: day month Name of spouse: Male year Female Contact organization or private host in Kyrgyzstan, including address and tel.: Purpose of trip: Business Pleasure Specific purpose of visit Type of visa requested: Transit Single Entry Tourist Double-entry Intended duration 6 Months 1 Year (For official use only) From: Until: Occupation, office address: Permanent Address: Номер: Дата поступления: Дата выдачи: Сроком с: Сроком до: Tel: Tel: Категория: Дип Служ Обыкн Тур Dates of all previous visits to the Kyrgyz Republic: I declare that the data given in this application are correct and comprehensive. Вид: Транз Одн Двукр Многокр ________________________________________________________ Date Signature Примечание: № ……… мес…………год

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