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Get form 5871 2017-2024

You may be able to use Form 5871-S, Disclosure of Ownership and Control Statement – Short Form, in lieu of using this form. See instructions to Form 5871-S to determine if you meet the requirements. Section 1. Disclosing Entity Information Legal Name of Disclosing Entity (applicant/provider) Doing Business As (d/b/a), if applicable Name of Contact Person Title or Relationship to Disclosing Entity Area Code and Telephone No. Area Code and Fax No. Email Address Business Entity Type Sol.

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