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Form (Rev. December 2010) 3491 Name of organization Consumer Cooperative Exemption Application (For Exemption From Filing Forms 1099-PATR) See OMB No. 1545-1941 Department of the Treasury Internal
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Form 3491 Rev December is a specific version of Form 3491, which is used for reporting certain information to the respective authority.
Individuals or entities who meet the specified criteria set by the authority are required to file Form 3491 Rev December.
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