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INS: TOP 13mm (1 2 "), CENTER SIDES. PAPER: WHITE WRITING, SUB. 20. INK: BLACK 1 FLAT SIZE: 216mm (8 2 ") 279mm (11") PERFORATE: HORIZONTAL 184mm (71 4 ") FROM TOP 2688 Signature Revised proofs requested Application for Additional Extension of Time To File U.S. Individual Income Tax Return Department of the Treasury Internal Revenue Service Please type or print. Date O.K. to print DO NOT PRINT DO NOT PRINT DO NOT PRINT DO NOT PRINT Form Action See instr.

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