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Application cannot be used for taxable years beginning on or after January 1, 2023. Ending Will this return be filed on extension? Yes No Address Change Name Change SECTION 1 - INFORMATION REGARDING THE PARENT CORPORATION Federal Employer I.D. Number Name (Corporate title) Please give former name if applicable. Date of Incorporation GA. Withholding Tax Account Number (if applicable) Business Address (Number and Street) Incorporated under laws of what state GA. Sales Ta.

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