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EFTA00304825
13a Service center where last return was Nod 13b Tax year ending date attest return (month, day, year) ▪ Fi vet M No 13c Check type of return Net Li Form 1120 El Form 11205 ri Other O. 14 vies the aubsidienfs lest return lied as pall 01 e consolidated return? If 'Yes; complete 15a, 15b, and 15c
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