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        <BusinessNameLine1Txt>MAURICIO MIDENCE TAX PREP SERVICES</BusinessNameLine1Txt>
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        <AddressLine1Txt>2552 APPIAN WAY</AddressLine1Txt>
        <CityNm>PINOLE</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
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      <PersonNm>JOEL MARTINEZ</PersonNm>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
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