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Get HI DoT G-49 2016

!!!! Last 4 digits of your FEIN or SSN TAX YEAR ENDING Column a BUSINESS VALUES, GROSS PROCEEDS ACTIVITIES OR GROSS INCOME mm/dd/yy Column b Column c EXEMPTIONS/DEDUCTIONS (Attach Schedule GE) TAXABLE INCOME (Column a minus Column b) PART III - INSURANCE COMMISSIONS .15% (.0015) !!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00 18. Insurance Commissions Neg 18 Enter this amount on line 23, Column (a) PART IV - CITY & COUNTY.

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