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REV1220 AS + (908)(I) START BUREAU OF BUSINESS TRUST FUND TAXES PO BOX 280901 HARRISBURG, PA 171280901 PENNSYLVANIA EXEMPTION CERTIFICATE This form cannot be used to obtain a Sales Tax License Number,
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01
Write the date at the top right corner of the check.
02
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03
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Write the same dollar amount in words on the line below the recipient's name. Start writing the words as close to the left side as possible to prevent any alterations.
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Check one refers to a specific form or process used for verification purposes.
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