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Form 12339-A (Rev. 5-2006)
ICR 201009-1545-048 · OMB 1545-1791 · Object 20314601.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Form 12339-A (Rev. 5-2006) |
| Subject | fillable |
| Author | CL:NPL:P |
| File Modified | 2006-05-25 |
| File Created | 2006-05-24 |
| Conversion State | complete |