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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
ktnernn. South Carolina, South Dakota, Tennessee. Wisconsin Austin, TX 73301 Cincinnati, OH 45999 Koreas City. MO 64999 For more infonnodon and the Privacy Aot and Paperwork Reduction Act Notice, zee the 2003 General Inetructlons for Forme 1009, 1098, 508, and W-26. 1C0042 Cat NO. 144000 Fwm 1096 (2033! SDNY_GM02771939 SUBJECT TO PROTEC
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
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th Carolina, Taxes, Virginia retirement arrangement. a Coverdell ESA, an Archer MSA (Including a Meditcre+ChoIce MSA); certain corporations; and a Arkansas, Connecticut, Delaware, lender who acquires an Interest In secured property or who has Kentucky, Maine, Massaohusetts, reason to know that the pro
sota, Maoist, Nebraska, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Wisconsin Kansas City, MO sassy For Mont Intern:WOO and the Privacy Aot and Paperwork Reduction Act Notice, see the 2009 General instructions for Forms 1099, 1099, 5498, and W-20. 41-1625351 Form 1096 (Foy. 3-20D5) FTC0034 EFTA00233148 I. O ' -1?
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