Document
Form 14039 (Rev. 5-2024)
ICR 202508-1545-010 · OMB 1545-2139 · Object 162216000.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Form 14039 (Rev. 5-2024) |
| Subject | Identity Theft Affidavit |
| Author | SE:W:CAS:AM:IPSO:IP |
| File Modified | 2024-11-07 |
| File Created | 2024-11-04 |
| Conversion State | failed_conversion |