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Get La R-1029 2012

That shown, mark here and make corrections in area provided on back. Do not use this form for filing periods prior to July 2012. ZIP 70801 Account Number 1234567-001 * Name(1) NAME LEGAL * * * * Name(2) NAME TRADE Address(1) PO BOX 12345 Address(2) City BATON ROUGE mm/yyyy Filing period 07/2012 State LA ZIP 70802 Please use blue or black ink. U.S. NAICS Code Round to the nearest dollar. Do not use dashes. 1 Gross sales of tangible personal property .

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