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Form 14039 (SP) (Rev. 12-2011)
ICR 201209-1545-016 · OMB 1545-2139 · Object 35018901.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Form 14039 (SP) (Rev. 12-2011) |
| Subject | Declaración Jurada sobre el Robo de Identidad (Identity Theft Affidavit) |
| Author | IRS |
| File Modified | 2012-01-10 |
| File Created | 2012-01-09 |
| Conversion State | complete |