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Form ST-119.2:9/11: Application for an Exempt Organization
(12/13). Instructions for Form ST-119.2. Application for an Exempt. Organization Certificate. Read these instructions carefully and complete all applicable
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18 CFR 131.70 - Form 12 of application by State and
Application by State and municipal licensees for exemption from payment of annual charges must be prepared on this form.
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Form W-12 (Rev. October 2024)
Check here if you have never filed a U.S. federal tax return or do not have a U.S. federal tax filing requirement. If this is an initial application, See line 8
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