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Get PA 83-T-5 2012

- THE PHILADELPHIA BUSINESS PRIVILEGE LICENSE FEE IS $300.00 PHILADELPHIA BUSINESS PRIVILEGE LICENSE NUMBER READ INSTRUCTIONS ON REVERSE BEFORE COMPLETING THIS FORM CLEARLY PRINT OR TYPE ALL INFORMATION REVENUE CODE 3702 You can register online at www.phila.gov/revenue. YOU MUST ENTER YOUR FEDERAL EMPLOYER IDENTIFICATION AND/OR SOCIAL SECURITY NUMBER 1A. IF THIS ACCOUNT IS FOR WAGE TAX WITHHOLDING ONLY, CHECK HERE: 1B. IF THIS ACCOUNT IS FOR NET PROFITS TAX ONLY, CHECK HERE: 2A. DATE PHIL.

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