ed Agreed) Pap 1 of 2 Name and Address o Taxpayer Leon D & Debra Black Taxpayer Identification Number 056-38-1069 Return Form No.: 1040 C(O Blysuim Person with whom Name and Title: 44 5 Park Ave Apt 1401 New York NY 10022-0000 examination drenges were discussed. Lece045044braBlaa 1. A