gov revenue formsandresources forms CT201

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gov revenue formsandresources forms CT201

  1. 1. 403 ................................................................... dne rebmun laceD ylno ....................................... steehs dna sllor gnissim fo rebmuN esu .................................................................. trats rebmun laceD ROD roF teehs kp 52 teehs kp 02 lloR .......................................................................... slaced fo epyT $ ..................................................................................... )6 enil morf 11 enil tcartbus( eud xat latoT .21 $ .......................................................................................................... )01 enil latot( tnuocsid latoT .11 $ $ $ 9 dna ,8,7 enil latoT .01 $ $ $ .................................................................. tnuocsiD %54.0 .9 $ .................................................................. tnuocsiD %06.0 .8 $ .................................................................. tnuocsiD %09.0 .7 $ ..................................................................................................................... )5 enil latot( xat latoT .6 $ $ $ ..................................... )4 enil dna 3 enil ylpitlum( xat latoT .5 ............................................................ laced hcae fo eulaV .4 521.2$ 07.1$ 07.1$ ....................................................................... slaced latoT .3 .................................................... steehs ro sllor fo rebmuN .2 teehs kp 52 teehs kp 02 lloR ................................................................... slaced fo epyT .1 teehs rep llor rep 000,03 051 – slaced fo teehs deilppa dnaH – slaced fo lloR slaced 006,15 fo ssecxe ni sesahcrup rof %54.0 • slaced 008,52 txen eht rof %06.0 :eludehcs • steehs lla rof %54.0 slaced 008,52 1 eht rof %09.0 tnuocsid ylhtnom slaceD ts • • redrO slaceD – 3 noitceS _________________________________________________ sserpxE enrobriA _________________________________________________ dradnatS – sserpxE laredeF _________________________________________________ thginrevO ytiroirP – sserpxE laredeF _________________________________________________ riA yaD txeN – SPU dnuorG – SPU rebmuN tnuoccA )enO kcehC( dohteM gnippihS – 2 noitceS mrof redro ot dehcatta dna ,euneveR fo tnemtrapeD anatnoM eht ot elbayap edam ecnattimeR :esahcruP hsaC etad noitaripxe dnoB ______________ ACM ,711-11-61 noitceS yb deriuqer sa euneveR fo tnemtrapeD anatnoM eht htiw delif dnob xat etteragic a si ereht fi ylno dewolla era sesahcrup tiderC :esahcruP tiderC )enO kcehC( dohteM tnemyaP – 1 noitceS .rebmun tnuocca gnippihs a htiw dedivorp dna detseuqer si dohtem rehtona sselnu ,dnuorg SPU aiv sredro laced xat diap lla pihs lliw tnemtrapeD ehT .3 2270-444 )604( ot xaf eb nac mrof redro siht ,ylno sesahcrup tiderc roF .2 .sesoprup tidua dleif rof elif ynapmoc ni etacilpud niateR .tnemyap htiw ,2171-40695 TM ,aneleH ,2171 xoB .O.P ,ssecorP ekatnI remotsuC ,euneveR fo tnemtrapeD anatnoM ot ypoc a timbuS .etacilpud ni eraperP .1 noitaraperp mrof rof noitcurtsnI piZ etatS ytiC xaF sserddA enohP emaN tnegA ro lapicnirP etaD .oN esneciL emaN ssenisuB mroF redrO slaceD xaT etteragiC 50-1 veR 102-TC ANATNOM

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