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Get 1091 Tax Form

Type or print) Employer identification number Expires 08-31-94 For IRS Use Only T FF FP I For month of T 19 If your business records are not available at the address shown, enter address where records are maintained. For Paperwork Reduction Act Notice, see instructions. Under penalties of perjury, I declare that I have examined this return and any accompanying certificates and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. 1 Gross wagers.

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