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Get Form ST-16 - Illinois Department Of Revenue - Revenue State Il

/ / Taxpayer s signature Date Daytime phone number Preparer s signature ST-16 front R-12/10 Preparer s name Please print. This form is authorized by the Illinois Retailers Occupation Tax Act and related tax acts. Disclosure of this information is REQUIRED. Failure to provide this information could result in a penalty. This form has been approved by the Forms Management Center. IL-492-3344 Reset Print General Information What is the Manufacturer .

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