Description
PR Revised 11/02 Petition for Reassessment Complete all applicable blanks and type or print in ink. See instructions for completing this form. A. General information Taxpayer name(s) Address City Tax type (e.g., personal income, sales) Daytime phone # E-mail address Fax # SSN Self State ZIP Assessment serial # Date of assessment Account # Tax period(s) Disputed amount(s) Federal emp. I.D.# (FEIN) If personal...Form was Filled by
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