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State of California Community Colleges Chancellors
Office Page 1 of 3
(rev. 01.2018)Position Duty
Statement
Date:Name of Incumbent:
Vacant
Position Number:
3643405795XXX
Division/Unit:
Office of General
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Duty statement form121592 forms are used to report duties or taxes imposed on specific goods or services.
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Information such as the type of goods, their origin, their value, and applicable duty rates must be reported on duty statement form121592 forms.
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