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Get 2023 D 40b

Etters using black ink. Leave lines blank that do not apply. Personal information OFFICIAL USE ONLY Your first name M.I. Your Taxpayer Identification Number (TIN) Vendor ID#0000 Last name Your date of birth (MMDDYYYY) Daytime phone number Current mailing address (number, street and suite/apartment number if applicable) City State Zip Code + 4 Country or U.S. commonwealth/U.S. territory Email Address STAPLE W-2s AND OTHER WITHHOLDING STATEMENTS HERE Review categories A - B below.

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