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Sign your name here Date Print your title here ACCOUNTANT Best daytime phone 01/07/2017 Paid Preparer Use Only Preparer s name Check if you are self-employed Preparer s signature PTIN P00413650 Firm s name or yours if self-employed NPSYS CORPORATION EIN 95-4150835 14541 BROOKHURST STREET STE. C1 Phone Page 2. Declaration of preparer other than taxpayer is based on all information of which preparer has any knowledge. If you are unsure about whether you are a monthly schedule depositor or a...
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