Form 9155 - Ftd Transmittal Label Reorder

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Department of the Treasury-Internal Revenue Service
9155
Form
FTD Transmittal Label Reorder
(September 2004)
Instructions: When your supply of labels reaches a 30 workday level, mail this reorder form to the same Internal Revenue Campus address
where you currently send Federal Tax Deposit forms.
1. Bank name
2. Address
3. City
4. State
5. ZIP code
6.
7. Number of label pads requested (50 per pad)
Attention:
9155
Form
(Rev. 9-2004)
Catalog Number 11008Q

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