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Get SC DoR PT-100 2004

Artment of Revenue Tax Year Initial Amended Owner Name and Mailing Address: (See instructions on back) Final Return Due to Change in Accounting Closing Period Business Name and Location: Property File No. Accounting Closing Period mo/da/yr Sales Tax No. Date Business Open mo/da/yr Federal EI/SS No. Telephone No. County NAICS Code Tax Dist Date Business Closed CHANGES ONLY Owner Name Business Name Mailing Address Business Location City/State - Mail Zip City/Sta.

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