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PB# 8549 Henry & Beth Erik 55165.2Jezik, Henry Beth Subdivisionr8549i^. General Reception OF NEW WINDSOR 555 Union Avenue New Windsor, N. Y. 12550 Received of^V^OXSLA^. ^ ^ IS(Tea Fork u S OF ^ ^

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Individuals or entities who are submitting an Application for an Extension of Time to File U.S. Estate Tax Return (Form 706) for certain estates of individuals who died in 2010.

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