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Get Irs 8621 2004

The Treasury Internal Revenue Service OMB No. 1545-1002 Attachment Sequence No. See separate instructions. 69 Name of shareholder Identifying number (see page 2 of instructions) Number, street, and room or suite no. (If a P.O. box, see page 2 of instructions.) Shareholder tax year: calendar year 20 or other tax year beginning , 20 and ending , 20 . City or town, state, and ZIP code or country Check type of shareholder filing the return: Individual Corporation Partnership S Co.

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