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Get Ct-183-m Amended Return (see Instructions) Employer Identification Number Legal Name Of Corporation

Article 9, Section 183-a Employer identification number File number Legal name of corporation For office use only Check box if overpayment claimed Trade name/DBA Mailing name and address Date received State or country of incorporation Mailing name (if different from legal name) and address c/o Number and street or PO box City Date of incorporation State ZIP code If your name, employer identification number, address, or owner/officer information has changed, you must file Form DTF-.

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