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Get Dea 223 Form 2013-2024

Ar Your signature* Mailing address ( City State ZIP code ) Phone number Email address Additional email address if available * Whether filing electronically or in paper, you must handwrite your signature on this form. If you are filing electronically, scan the form after signing it and then file electronically. December 2013 Rule 17.200 Form 223 Page 3 of 3.

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