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EFTA00175998
including room, suite, or other will number), and TIN In the spaces provided on the for Signature r• FILE COPY (Passr,,n,rer Date I. 4—; Title P z Ci. • a• When to tile, File Form 1098 with Forms 1099, 1098, or W-2G by February 28, 2008. Ale Form 1096 with Forme 6498, 6498-ESA, end 6498-SA by
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