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Get Form 13551 (rev. October 2004)

3mm (1/2"), CENTER SIDES. PRINTS: HEAD TO HEAD PAPER: WHITE WRITING, SUB. 20. INK: BLACK FLAT SIZE: 216mm (8-1/2") x 279mm (11") PERFORATE: None DO NOT PRINT DO NOT PRINT DO NOT PRINT DO NOT PRINT 13551 (October 2004) Department of the Treasury Internal Revenue Service Date Signature O.K. to print Revised proofs requested For Official Use Only Control Number: Application to Participate in the IRS Acceptance Agent Program OMB Number 1545-1896 Please check the type of acceptan.

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