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ElectronicPaymentEnrollmentForm Surname___ NameAsItAppearsonRoyaltyStatement___Client×AsItAppearsonRoyaltyStatement___LastFourDigitsofSS×obtain#___Phone#___AddressAsItAppearsonRoyaltyStatementNewAddress×filloutifchangingaddress)________________________BankAccountInformation:
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This form is a tax form used for reporting income and expenses.
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