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I <br />INSTRUC7tOA1S <br />PURPOSE Of FORM. Thu form ;a to be used trq thz ~rhrask ~ <br />Daparrmenr of Recenne for the purpnm ni nn2ifyin~ d2e appropnatr <br />~- uuty suttannties chat a Aorce ~rf Stara T:~r l~zn s barn}i iced <br />t tI~'tacpaser tml:cated tin thu fcum. <br />The tax rattgor r2<imber cor3es and the Neisrasira tax nrogranss they <br />re}~re~n2 are ttsted !:eic~w <br />rJf Sakx Tax <br />t)_' Retailers lice Tux <br />Eia .. .. .. ... .. Cunsurners lise Tux <br />ir3 .... .... Fan-muwr3 <br />3b Es2ate Tax <br />.?9 .. .. ..... inctesne Tas Withhetding <br /> indindua:Inearne Tax <br />03 .. .. . ........ Fiduciarl° Inx:amc Tai: <br />~+~ .. ... . .(.aL~ntyie IIIL`ti251e and F•ran~tase Tax <br />~i a4ea#ssniui ~Itfnmmenr Dnicti Tax <br />Jr? t]t?l"UPrM'RRI3L'N' $i177Stf Tax <br />_? i t;~arette Tax <br />35 Sevrzancc Tsx <br />'7 Ie:!:rst.ate :dxxen i a^z:ts t~ne; Tax <br />.\' 1 }~'.ii]i ~~CA.lG'9. ~'tSC1312'i2}Tt32iHit7 t~932~d <br />s5 azr:rail f^ue;; <br />v; Spccaat Fcreas <br /> ~ <br />~ 0 <br />x <br />~ ~ ~~ ~ <br />~ <br />~ ~ <br />t <br />as ` f V i <br />~ + <br />_ "" <br />_ <br />"- ~ Q <br />~, a <br />.~ , ~ <br />,~ . ~:4 ~* <br /> <br /> ~ ~ A <br /> ~ <br />l..J <br /> <br /> <br />