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Ttached 4 ATC 2 Amended Return? ( MM/ DD /YYYY ) Yes No Part I Background Information 6 RDO 7 TIN of Executor/Administrator 5 TIN of the Taxpayer Code 8 ES010 9 Name of Executor/Administrator Taxpayer's Name 10 Residence of Decedent at the Time of Death 11 Registered Address (Executor/Administrator) 12 14 Residence Address (Executor/Administrator) Zip Code 13 Telephone No. 15 Are you availing of tax relief under a Special Law/ International Tax Treaty? Yes No 16 Mark applicable Box Has.

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