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ral Tax ID number is: TIN#: ( Company mailing address is: 57 Royce Road Newton MA 02459 I understand that this certification may be disclosed to the Internal Revenue Service by the transferee and that any false statement I have made herein could be punished by fine, imprisonment, or both. Under penalties of perjury, I
preparer has knowledge.) Preparers Signature (if other than taxpayer) MMDDYYW 12/13/2019 Preparers Printed Name (required if POA box is checked) Rebecca Russo Entity Hudkins Law PLLC Last Name First Name Russo Rebecca Street No. Street Name Apt! Unit PO Box City State Zip Code + 4 (or Canadian
. The company Federal Tax ID number is: TIN#: Company mailing address is: Newton MA 02459 I understand that this certification may be disclosed to the Internal Revenue Service by the transferee and that any false statement I have made herein could be punished by fine, imprisonment, or both. Under penalties of perjury, I
reparer has knowledge.) Preparefs Signature (it other than taxpayer) MMDDYYYY 12/13/2019 Preparefs Printed Name (required it POA box is checked) Rebecca Russo Entity Hudkins Law PLLC Last Name First Name Russo Rebecca Street No. Street Name Apt / Unit Phone Number 9 City New London Eviadford
is: TIN#: ( Company mailing address is: Seller 4o -rvrAish !D# Ar fru 54 Oar C les mi I understand that this certification may be disclosed to the Internal Revenue Service by the transferee and that any false statement I have made herein could be punished by fine, imprisonment, or both. Under penalties of perjury, I
rmation of which the preparer has knowledge.) Preparers Signature (if other than taxpayer) Preparers Printed Name (required if POA box is checked) Rebecca Russo . Entity liudkins Law PLLC Last Name First MINIM Russo Rebecca Street No. Street Name Apt / Unit 9 I Newport Road - • _ New London
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