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Get Reset 2012 State Of Delaware Office Of The State Bank Commissioner Form 1811ac 0905 555 E

REDITS Print STATE OF DELAWARE DIVISION OF REVENUE 820 North French St. P.O. Box 8911 Wilm., DE 19899-8911 PART A - NAME AND ADDRESS OF CURRENT QUALIFIED PROPERTY OWNER 1. Enter Federal Employer Identification Number or Social Security Number: 2. Name of Qualified Property Owner 3. Address of Qualified Property Owner 4. Location of Qualifying Historic Property (If different from above) 5. Qualifying Dates / Part II Approval: / Part III Approval: / / PART B - TYPE OF HISTORIC PROPERTY.

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