Get IN DoR ST-200 2013
Ss B. Meter Location Address Legal Name: DBA (doing business as) Name: Street/P.O. Box: Street/P.O. Box: City, State, ZIP: City, State, ZIP: Telephone Number: Telephone Number: C. Billing Name (a copy of the utility bill with billing name must be attached) 12 months of bills are attached 1 bill showing annual usage is attached D. Fill In All Applicable Blanks Nonprofit organizations and governmental entities should NOT complete the lines with the (*). On the reverse side, onl.
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