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PLEASE SIGN AND RETURN ..
$21.00
Ex Tax: $21.00
SIGN HERE ..
$21.00
Ex Tax: $21.00
PLEASE SIGN DATE AND MAIL ..
$21.00
Ex Tax: $21.00
THIS STATE COPY MUST BE MAILED IN THE PRE-ADDRESSED STATE ENVELOPE ..
$21.00
Ex Tax: $21.00
THIS IS THE AMOUNT OF YOUR REFUND ..
$21.00
Ex Tax: $21.00
THIS IS THE AMOUNT OF TAXES YOU OWE ..
$21.00
Ex Tax: $21.00
THIS FEDERAL COPY MUST BE MAILED IN THE PRE-ADDRESSED IRS ENVELOPE   ..
$21.00
Ex Tax: $21.00
SIGN, TITLE AND DATE ..
$21.00
Ex Tax: $21.00
PLEASE SIGN AND DATE ..
$21.00
Ex Tax: $21.00
FIRME ACQI ..
$21.00
Ex Tax: $21.00
WE APPRECIATE REFERRALS ..
$21.00
Ex Tax: $21.00
PLEASE SIGN AND DATE ..
$21.00
Ex Tax: $21.00
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