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Get Sc Dor Fs-102 2018

Revoke this authorization by notifying the South Carolina Department of Revenue no later than five (5) business days prior to the withdrawal (settlement) date. I understand that notification must be made in writing and can be emailed to PPARequest dor.sc.gov. Your Signature Spouse's Signature (If applicable) Mail your completed request to SCDOR, Payment Plan, P.O. Box 125, Columbia, SC 29214-0217. If you have any questions about this form, call 803-898-2222 or visit your local office. 209410.

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