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Get PA REV-679 2016

Amended Return Wholesaler Account Number Period (MM/YY - MM/YY) Manufacturer FEIN Business Name or Last Name First Name Street Address City SECTION 1. Taxable Sales Retailer SSN Due Date (MM/YY) State No. of units/oz. Tax Rate Tax Due 1. Total PA sales/purchases of smokeless tobacco for units less than 1.2 ounces; Complete REV-679 A $0.66 2. Total PA sales/purchases of smokeless tobacco for ounces 1.2 or greater; Complete REV-679 A $0.55 Non-Taxable Sales ZIP Code No. of un.

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