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Form 4219 (Rev. 1-2013)

ICR 201312-1545-015 · OMB 1545-2254 · Object 43812701.

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application/pdf
Form 4219 (Rev. 1-2013)
Statement of Liability of Lender, Surety, or Other Person for Withholding Taxes
SE:S:ECS:SP:CO
2013-02-07
2013-02-07
complete