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Get Kentucky Coal Severance Tax Return Fillable Form

55A004 10-10 Page 1 COAL SEVERANCE TAX SELLER/PURCHASER CERTIFICATE Commonwealth of Kentucky DEPARTMENT OF REVENUE INSTRUCTIONS TO COMPLETE PAGE 1 OF THIS CERTIFICATE This form is to be submitted if coal has been Purchased and Processed. Complete the Seller and Purchaser information below and check the applicable number 1 through 5.

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