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Get Delaware Claim For Revision Form

Address City (A) State (B) TAX PERIOD ENDING 6. GROSS RECEIPTS ORIGINALLY REPORTED Zip Code (C) GROSS RECEIPTS CORRECTED AMOUNT Mailing Address if Different City (D) AMOUNT OF TAX PAID State (E) CORRECTED TAX AMOUNT Zip Code (F) REFUND OWED TAX OWED 01/31/ 02/28/ 03/31/ 04/30/ 05/31/ 06/30/ 07/31/ 08/31/ 09/30/ 10/31/ 11/30/ 12/31/ Total 7. TOTAL AMOUNT TO BE REFUNDED OR ADDITIONAL TAX OWED SIGNATURE TITLE I declare under penalties as provided by law that the information on.

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