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hode island, Texas, • tont. Virginia, west Virglree vi tin, TX 73301. Alaska. Celeo COnonn, Marla of Columbia. Hawse, Idaho. Meth Indiana, lown, Kansa, Magyars', Peohigan, Minnesota, Mbaourl, Morten& Nebraska, Nevada, North Dakota. °Walleye, Or09:41. South Cartilna, South Dakota, Tennessee, Utah,
l residence In the case of an Individual, is located In Alabama. Adzona. ROOM GEONCI. Louisiana. Mbalseppt. New Marco. North Camino, Sins, Vora Arkansas, COnnectioA Odaware. Rantobey, Mann. kbasecholotts. New Harnpebte, New Jersey. NwiYork, Olio, Po.o/wario. Rhode Island, Vermont, West Walrus Use
EFTA01338193 D.. Di c —r• • 6969 . .a I • • Melt 1511161 nand 1096 easersom0earniaawy arm Rowan Macs Annual Summary and Transmittal of U.S. Information Returns 2@0506 — rFILFRS name , EPSTEIN INTERESTS Street address (Including room or suite number) 457 MADISON AVENUE City, Mete. end ZIP code Ltsmw YO
Service Center Individual, Is located in address' Alabama, Arizona, Florida, Georgia, Louisiana, Miss1C4IpPlitialtaxl00. North Carolina, Texas, Arkansas, Connecticut, Delaware, Kentuoky, Maine, Massachusetts, New Hampshire, New Jersey, New York, Ohio, Penney/Limn' Rhode Island, Vermont, WoStillill
4 EFTA00176009 co ris.4 -"r 696 9 OMB Ne. 15484109 Fe..1096 Deposing,la the Mown Internal Revenue Berate Annual summary and Transmittal of U.S. Information Returns 2(305 (Rev. riven 2055) I FILER'S name 1 EPSTEIN INTERESTS Street address (Including room or suite number) 457 MADISON AVENUE City, state, an
usiness, office or agency, or legal residence in the case of an individual, Is located in Use the following three-line address Alabama. Ancona. Arkansas, Connemicut Delaware, Florida. Georgia. Kentucky. Louisiana. Maine. Massechusens, Mississippi. New Hampshire, New Jersey. New Marko. Now York. N
De Not show 6969 Form 1096 Department of the Treasury Internal Remus Sent* Annual Summary and Transmittal of U.S. Information Returns OMB No. 1545.0108 20013 FILERS name BEB 2011 Trust Street address (ini:turfing room or suite number) 445 Park Ave., Suite 1401 City or town. p
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