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Get PA Petition for Appeal - Philadelphia City 2001

Middle Initial, Last Name) RECEIVED ON (Office use only) BUSINESS NAME SOCIAL SECURITY NUMBER MAILING ADDRESS FEDERAL EMPLOYER IDENTIFICATION NO. CITY STATE PHONE NUMBER FAX NUMBER ZIP CODE E-MAIL ADDRESS PROPERTY ADDRESS (If involved.) REVENUE ACCOUNT/BILL # TYPE OF APPEAL TAX TYPE DATE OF BILL PRINCIPAL PERIOD/YEAR REFUND T# INTEREST/PENALTY PRINCIPAL INTEREST DATE OF DENIAL LETTER REFUND APPEAL PENALTY TOTAL GRAND TOTALS REASON FOR THIS APPEAL (Be brief and concise. Do.

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