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Get Nc Dor Gas-1200 2016

Hanged since prior refund claim Trade Name First time filing GAS-1200 refund claim Amended refund claim Location Final refund claim for organization County OFFICE USE ONLY FEIN or SSN Mailing Address City State Name of Contact Person Phone Number ( Refund for Quarter Ending Zip Code (First 5 digits) September 30, 2016 December 31, 2016 Fax Number ) ( Type of organization claiming refund: ) Volunteer Fire Department Volunteer Rescue Squad Number of vehicles using motor fuel.

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