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Get PA DoR RCT-121C 2019

Icial Use Only) PAgE 1 Of 4 grOSS PrEmIUmS tAX - fOrEIgn cASUAlty Or fOrEIgn fIrE InSUrAncE cOmPAnIES START c Tax Year Begin: Revenue ID Federal ID (FEIN) Parent Corporation (FEIN) Tax Year End: 12/31/20 Due Date: April 15 Please select correct letter in drop down Taxpayer Name Check to Indicate a Change of Address PA Agent Renewal Fees (See Instructions) Amended Report (Include REV-1175.) First Report Payment Made Electronically PLHIGA/KOZ/EIP As Originally Registered with PA De.

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