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Get NY DTF FT-400/401 2017-2024

/17) Tax Law Article 13-A, Section 301-c Print or type Period covered (mm-dd-yy) From: Legal name of claimant Business telephone number Address (number and street) For office use only To: ( ) City State Motor fuel gallons Reimbursement ZIP code Line 16 $ Line 17 $ Line 18 $ Records kept at (if different from address above) Federal employer identification number (EIN) Social security number NYS sales tax ID number Diesel motor fuel gallons Line 16 $ Line.

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