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Ar. Name and Address of Business or Licensee Account No. Calendar or Fiscal Year Ended Make payments to: Mercer County Fiscal Court Mark changes, if needed Month Mail to: Mercer County Tax Administrator P.O. Box 265 Harrodsburg, KY 40330 (859)734-6300 ALL LICENSEES MUST ANSWER FULLY THE QUESTIONS BELOW: A. Nature of Business _______________________________________ B. Federal I.D. or Social Security # _____________________________ C. During the past year, did Federal Authorities change or .

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