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Form 4852 (Rev. January 2007)

ICR 200710-1545-038 · OMB 1545-0074 · Object 5120401.

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Document Metadata
File Typeapplication/octet-stream
File TitleForm 4852 (Rev. January 2007)
SubjectSubstitute for Form W-2, Wage and Tax Statement, or Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sh
AuthorSE:W:CAR:MP
File Modified2007-01-22
File Created2007-01-19
Conversion Statefailed_conversion