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ARIZONA JOINT TAX APPLICATION APP/UC001 (1/02) DEPT. OF REVENUE PO BOX 29069 PHOENIX AZ 850389069 www.revenue.state.az.us DEPT. OF ECONOMIC SECURITY PO BOX 6028 PHOENIX AZ 850056028 www.de.state.az.us/links/esa

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appuc-001 102 is a form used for reporting specific information to the relevant authorities.

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