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Get PA PA-1000 2017

Ot use the label. Complete Part A. Your Social Security Number Spouse s Social Security Number PleASe WRITe IN YOUR SOcIAl SecURITY NUMBeR(S) ABOVe Last Name First Name MI Second Line of Address State Spouse s First Name MI ZIP Code County Code REQUIRED Fill in only one oval in each section. 1. I am filing for a rebate as a: P. Property Owner See instructions R. Renter See instructions B. Owner/Renter See instructions 2. I Certify that as of Dec. 31, 201.

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