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Exhibit 8.7.1-5
(11-06-2007) IRS Administrative Costs Data Sheet
| A. TAXPAYER IDENTIFICATION NUMBER AND TAX PERIOD(S). _________ |
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| ______________________________________ |
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| ______________________________________ |
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| B. TAXPAYER (PAYEE) NAME(S) AND ADDRESS _________________ |
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| ______________________________________ |
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| ______________________________________ |
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| ______________________________________ |
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| ______________________________________ |
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| C. AMOUNT TO BE PAID __________________________ |
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| D. LEGAL AUTHORITY FOR PAYMENT: 26 U.S.C. 7430(a)(1) AND 7430(d)(1) |
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| E. DEBTS PAYEE OWES U.S. (IF KNOWN) ____________________ |
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| ______________________________________ |
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| ______________________________________ |
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| F. BREAKDOWN OF ADMINISTRATIVE COSTS __________________ |
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| EXPENSES OF EXPERT WITNESSES: $ __________ |
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| COST OF STUDY, ANALYSIS, ETC.: $ __________ |
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| ATTORNEY FEES: $ __________ |
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