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RS IISECUR17005930 SECUKIIIto i, ', '+ANNUAL AUDITED REPORT FORM X17A5 PART IIT “, t 4:.hta1 AYJ)REGISTRATIONS BRA % 15OMB APPROVAL OMB Number: 32350123 Expires: May 31, 2017, Estimated average
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Tquot t 4 is a form used for reporting miscellaneous income, such as income earned as an independent contractor or self-employed individual.
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The information that must be reported on a tquot t 4 form includes the payer's name, address, and taxpayer identification number, as well as the recipient's name, address, and taxpayer identification number.
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