h Form 10Se. For Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G. 17 Steit/Pepees nue no. 141 Stara Income °coalmeni of the Treasury - 3nrerns Revenue Severe Of &mutate. Z100,10 So. iM632 EFTA01702210 9595 ID VOID K CORREMD P