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Get Dor Form Bca

Ation or Social Security number Mailing address City/Town State Name of contact person Telephone E-mail address Other: City/Town State Zip Type of entity: Corporation Trust Address of property Partnership Sole proprietorship LLC Nonprofit Zip Date(s) eligible costs incurred 1 Percentage of costs with respect to the assessed value of the property prior to remediation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Net response and removal costs incurred during the tax.

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