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EFTA00175998
16 Ststo tax withhold ONO No. 1546-0110 2@04 Fawn 1099-MISC a Federal Mem Cm withheld S Miscellaneous Income 5 TotIrd Ind Non an plfintnts 0 &ARP& peyners In UM of dlebleods eit*est 10 Crop Insurance proceeds State Copy or Extra File Copy 17 SOW/Payer's slate no. 18 Siete Income Form 109
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