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Get Pr 480.30(ii) 2000

Rico Incentives Programs Date / / R M N AMENDED RETURN Payment Stamp TAXABLE YEAR BEGINNING ON , AND ENDING ON , Employer's Identification Number Name Postal Address Department of State Registry No. Industrial Code Municipal Code Zip Code Location of Principal Industry or Business (Number, Street and Country) Type of Principal Industry or Business Contracts with Governmental Entities Yes No CHANGE OF ADDRESS Yes No 2000 RETURN English Spanish.

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