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Get OREGON CIGARETTE CONSUMER'S MONTHLY TAX REPORT

Er where property is located. No refund may be made by the department more than four years after the date of sale (RCW 82.45.100). Reset This Form Instructions on Reverse Side Please Type or Print Claimant This request refers to taxes originally paid on Affidavit No. on / / in the amount of $ . Claim may be for partial or entire payment. Amount of tax refund being requested $ . Address Phone Legal Description of Real Property: Parcel No. Request Refund for the Following Reasons: Affidav.

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