For details, see page 3 of this form. Do not use this area. Part A Identification Legal name: Trading name (if different from legal name): Account number: Part B Fiscal year Indicate the fiscal year for which you are filing this notification: Year Month Day From Year Month Day to Part C Notification In the appropriate space, indicate the start and end dates for your fiscal quarters and fiscal months. Fill out this section regardless of how often you file excise duty, exci.

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