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Get 4923 Form 2021-2024

Phone Number ( ) - ZIP Code Alternate Phone Number Fax Number Avg Price Per Gal (Gasoline) See Instructions Avg Price Per Gal (Clear Diesel and Kerosene) See Instructions ( ) - ( ) - The refund claim must be filed within one year of the date of purchase or April 15 following the year of purchase, whichever is later. Form 4924 must be on file with the Department or submitted at.

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