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Get PA REV-1705 R 2004

FILING STATUS TO: (CHECK ONLY ONE MORE FREQUENT FILING STATUS ONLY) NEW LEGAL NAME/TRADE NAME/ADDRESS SALES: MONTHLY QUARTERLY LEGAL NAME LEGAL NAME EMPLOYER: SEMI-MONTHLY MONTHLY TRADE NAME TRADE NAME SECTION III. ADD LOCAL SALES TAX PRIMARY PRIMARY ADDRESS ADDRESS COUNTY: DATE OF FIRST SALE IN COUNTY: MONTH DAY YEAR ALLEGHENY / / PHILADELPHIA / / SECTION IV. OTHER TAX CHANGES LOCATION LOCATION ADDRESS ADDRESS TYPE OF TAX: (NO PO BOX) (NO PO BOX) ACCOUNT ID.

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