Get MD COM/ATT-001-1 2008
E and in full detail) Date: Claim for tax refund is hereby made in the amount of $ . This claim is itemized as follows: Our reasons for filing claim are: Name of Company Street Address City, State, Nine Digit Zip Code Federal Identification # - AFFIDAVIT I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true and correct to the best of my knowledge, information, and belief. Signature Title COM/ATT-001-1 Revised 6/08.
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