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COPY OF PROXY FORM GRANTING RIGHT TO PARTICIPATE IN THE SHAREHOLDERS MEETING With regard to the ordinary shareholders meeting of Amplicon S.p.A. convened on 20 April 2011 at 10:00 a.m. CET at the

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What is ing fac-similemodulodelegapag 1doc?

ing fac-similemodulodelegapag 1doc is a form provided by the tax authority for delegating the payment of taxes.

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Individuals or entities who want to delegate the payment of taxes to a third party.

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The form must be completed with the required information regarding the tax payment delegation and signed by both parties.

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The purpose of the form is to authorize another party to make tax payments on behalf of the taxpayer.

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The form must include details of the taxpayer, the delegated party, the taxes to be paid, and the duration of the delegation.

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