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Departmercoi
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EFTA01702202.pdf
1 mentionEFTA01702202
for Forms 1099, 1098, 5499, and W-2G. 15 16 State tax withheld $ 17 StatelPeyees state no. 18 State income S $ ram 1O99-MISC 41.1628051 Departmercoi the 'treasury • Internal RtVOMIC Senice I 06646 EFTA01702213 9595 LI VOID U CORRECTED • PAYER'S name. 1.74/4 addret.e. cky. elate 70 code. en
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