Form 1122 (Rev. December 2003) - IRS tax forms

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Form 1122 (Rev. December 2003) Department of the Treasury Internal Revenue Service For the calendar year 20 , or other tax year beginning , 20 and ending , 20 Name Employer identification number Number, street, and room or suite no. City or town, state, and ZIP code Name of parent corporation Employer identification number

  Form, 2003, December, 1122, December 2003, Form 1122, Irs tax forms