Get NE Form 21 2020-2021
Individual income tax) Please Do Not Write in This Space Tax Period for Which Penalty Was Assessed (For income tax, Amount of Penalty Assessed complete a separate request for each tax year.) $ Name and Mailing Address Name and Location Address Name Doing Business As (dba) Name Legal Name Street or Other Mailing Address Street Address City City State Zip Code Email Address Zip Code Email Address State Phone Number Phone Number A request for abatement of pe.
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