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8655 Reporting Agent Authorization Form (Rev. August 2014) OMB No. 15451058 Department of the Treasury Internal Revenue Service Information about Form 8655 and its instructions is at www.irs.gov/form8655.
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2014 EIN EFTPS 10241T PF OMB form8655 disclosures irs gov certify Taxpayer authorizing enroll revoke quarterly seasonal Disclosure relating revoked Reduction disclose

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