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MPANY, INC. 6100 RED HOOK QUARTER 0-3 ST. THOMAS U.8.VIRGIN 00802 d Rroolnyaa word ob4rit, motor 58 0 -17- 312 9 * ••••••••••••••• • DAPHNE I WALLACE IVII I••••••••••••••••••••• •••••••••• • mio• •••••••••• •• •• e n • ••••• OM. .M••• •••••••• For OffielalUan Only OHIO No.1602•0000 P.O. BO
s In la of dIMicds or Moroi 10 Crop Insurance proceeds 11 15 3 State MX WIttheld 12 14 Gross proceeds paid to an attorney Copy For Pa; or State Cc For Privacy and Paperw. Reduction Notice, see • 2005 Gene Instructions Forms 10 1098, 54 and W-: 17 eitati/Poyer's state no. 18 State Inco
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e (orb Satelt61 WOO b Re of OW/int% 3 Ittuest 10 Clop Iwn mooed, 13 Exam 93.02, With 939rnente 14 Grow prom& pad to an ruby Cop) For Pa or State Cc For Pitney and Papaw, Reduction, Notice, see 2006 Gene Instructions Forms 10 1098, 54 and 138 Sectbn 4004 dohlorno • S orr, 1099-MISC 113
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Sectbn 408A deferrers 1Mt Section 409A InooMe 16 Mete lex withheld an attOrtley $ 17 Ettato/Payare steel no. 10 State Income Cop) For Pc or State Cc For Privacy and Paper Reduction Notice, see • 2005 Gene Instructions Forms 10 1098, 84 and W-: FTED025 Form 1099-MISC Depart/net of the 1Y
Entities connected to both WALLACE and State Cc

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