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Get NY DTF FT-420 2006

28 and 29 Use this form only for motor fuel (not diesel motor fuel) purchases made within three years prior to the date of this application. Be sure to complete Schedule A on back. (See instructions, Form FT 420 I, before completing.) Name of claimant Street address For Tax Period: Beginning Telephone number ( ) Ending For office use only City, state and ZIP code Total approved Social security number Employer identification number County NYS sales.

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