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Get Or Dor 150-800-005 2010

Ion on the back. Taxpayer name Identifying number (SSN, BIN, FEIN, etc.) Spouse s/registered domestic partner s (RDP) name, if joint return Spouse s/RDP s identifying number (SSN, etc.) Address City State ZIP code Check only one: Tax Information Authorization: Checking this box allows the department to disclose your confidential tax information to your designee. You may designate a person, agency, firm, or organization. Power of Attorney for Representation: Check this box if.

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