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Get Nys Form Cms 1 Mn

E of taxpayer Taxpayer ID number (EIN or SSN) Current address (number and street) City State Zip code Daytime telephone number ( ) If you are not representing yourself, you must submit a properly completed power of attorney (POA-1) with this request. A POA-1 is not necessary if the person representing you is a spouse, parent, child, or guardian. See 20 NYCRR 4000.2. Taxpayer s representative, if any (name of representative and firm) Address (number and street) City State.

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