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Get NY IFTA-21 2013

E of business (9/15) Corporation SS Partnership LLC/LLP Other: 4 Legal name 5 USDOT number 6 Doing business as (DBA) name (if different from legal name) 7 Business phone number ( ) 9 Mailing address (if different than physical address; number and street or PO box) 8 Physical address (number and street) City State 10 Will you be traveling outside New York State? Yes ZIP code City State 11 Are you registered for New York State.

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