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AS AMENDED8937Report of Organizational Actions Affecting Basis of SecuritiesForm (December 2011) Department of the Treasury Internal Revenue Serviceman BOMB No. 15452224See separate instructions.

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5. Include the title 'Amendment' at the top of the document to make it clear that it is an amendment.
6. Clearly state the purpose of the amendment and provide a brief background if necessary.
7. List the specific sections or provisions that will be amended, and provide the original language and the proposed changes for each.
8. Clearly indicate the effective date of the amendment and any other relevant dates or deadlines.
9. Include any necessary signatures or notarization, depending on the requirements of the governing authority or the original document.
10. Review the completed amendment carefully to ensure accuracy and clarity.
11. Make copies of the completed amendment for all parties involved and keep a copy for your records.
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