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EFTA00595680
ostal code New York, NY 10022 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld S Investment expenses $ 7 Eceeign cony or U.S. pOSSentri 6 Foreign tax paid 8 Tainexempt interest $ 10 Tax-exempt bond CUSIP no. 9 Spewed private actmI bond irnerest Copy A Fo
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