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EFTA00792171
Date DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 A Firm's name (or yours, if self-employed) A Address A ZIP Code Frn S (11(113/41Inalliunn Aunt If MAILING INSTRUCTIONS H Attach copy of federal Form 1040, Schedule C, Schedule C-EZ or Schedule F. If this is a final re
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