Form 500-Bd Bank Deposit Voucher
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1
2500-BD
Bank Deposit Voucher
CNMI Department of Finance,
Division of Revenue and Taxation
1. Employer identification
u n
m
b
r e
2. Tax year
3. Period
4. Tax type
. 5
Deposit amount
$__________.___
6. Taxpayer name
7. Address
S
a t
e t
Z
p i
Code
FOR BANK USE: Credit to CNMI Treasurer, General Fund Account No.: 0103-025301
Date deposited: _____________________
Acknowledged by: __________________________
Form 500-BD Bank Deposit Voucher (Rev. February 2009)
White Copy : Bank
500-BD
Bank Deposit Voucher
CNMI Department of Finance,
Division of Revenue and Taxation
1. Employer identification
u n
m
b
r e
2. Tax year
3. Period
4. Tax type
. 5
Deposit amount
$__________.___
6. Taxpayer name
7. Address
S
a t
e t
Z
p i
Code
FOR BANK USE: Credit to CNMI Treasurer, General Fund Account No.: 0103-025301
Date deposited: _____________________
Acknowledged by: __________________________
Form 500-BD Bank Deposit Voucher (Rev. February 2009)
Yellow Copy : Bank
500-BD
Bank Deposit Voucher
CNMI Department of Finance,
Division of Revenue and Taxation
1. Employer identification
u n
m
b
r e
2. Tax year
3. Period
4. Tax type
. 5
Deposit amount
$__________.___
6. Taxpayer name
7. Address
S
a t
e t
Z
p i
Code
FOR BANK USE: Credit to CNMI Treasurer, General Fund Account No.: 0103-025301
Date deposited: _____________________
Acknowledged by: __________________________
Form 500-BD Bank Deposit Voucher (Rev. February 2009)
Green Copy : Division of Revenue & Taxation
500-BD
Bank Deposit Voucher
CNMI Department of Finance,
Division of Revenue and Taxation
1. Employer identification
u n
m
b
r e
2. Tax year
3. Period
4. Tax type
. 5
Deposit amount
$__________.___
6. Taxpayer name
7. Address
S
a t
e t
Z
p i
Code
FOR BANK USE: Credit to CNMI Treasurer, General Fund Account No.: 0103-025301
Date deposited: _____________________
Acknowledged by: __________________________
Form 500-BD Bank Deposit Voucher (Rev. February 2009)
Blue Copy : Customer or Employee
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