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Get NC DoR NC-5500 2012

Ame (Legal Name if Business): Trade Name (If Different): Daytime Telephone Number: Name of Contact Person: Mailing Address: Street or P.O. Box State City Zip Code Part 2. Penalty Information Type(s) of Tax: Amount of Penalty: Period(s): Notice(s) of Assessment: Part 3. Reason for Request (Place an X in any block that applies and provide the information requested.) Death of taxpayer, taxpayer s immediate family member, or tax preparer. Name of deceased: Date of death: Relationship to.

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