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Get Request For Taxpayer Identification Number And Certification - ...

Print or type See Specific Instructions on page 2. Name (as shown on your income tax return) Business name/disregarded entity name, if different from above Check appropriate box for federal tax classification (required): Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate Exempt payee Limited liability company. Enter the tax classification (C C corporation, S S corporation, P partnership) Other (see instructions) Address (number, street, and apt. or suite no.

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