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Get TX 05-169 2011

R Due date Report year Privilege period covered by this report Taxpayer name Secretary of State file number or Comptroller file number Mailing address City State Country Blacken circle if this is a combined report Blacken circle if Total Revenue is adjusted for Tiered Partnership Election, see instructions Blacken circle if this is a Corporation or Limited Liability Company m m d d y y Plus 4 Blacken circle if the address has changed Blacken circle if this is an Entity other t.

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