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EFTA00792081
rsonal identification number (PIN) 13349 I 03 Prepare/re pinto name DAVID WEISS Fern's name Or yOlina. a mit-errpoyea) DAVID WEISS CPA, PLLC PmereesMINor&IN P00962062 mays* 183 MADISON AVE SUITE 803 NEW YORK NY 100164403 201004171019 employerwommomo.t. *****2756 oats • Taxpayer(s) must sign here
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