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Get PR 480.20 2000

N Date Payment Stamp R M N TAXABLE YEAR BEGINNING ON , AND ENDING ON , Employer's Identification Number Taxpayer's Name Postal Address Department of State Registry No. Industrial Code Municipal Code Zip Code "Place Label here". Location of Principal Industry or Business - Number, Street, City Telephone Number - Extension Type of Principal Industry or Business (i.e. Hardware, Cafeteria, etc.) Date Incorporated Check the corresponding box, if applicable q Fir.

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