Form Ftb 3606 - Cd-Rom Transmittal Form September 2011
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STATE OF CALIFORNIA
For FTB Use Only
DATA EXCHANGE – CHECK CASHER MS L120
Replacement File Requested
FRANCHISE TAX BOARD
Corrected File Received
PO BOX 1468
SACRAMENTO CA 95812-1468
CD-ROM Transmittal Form
Check Casher Information Report
Report for Calendar Year: _______
(Submit this form with your check casher report data on a CD-ROM.)
Part 1: Check Casher Information
Business Name
FEIN
SEIN
DOJ Permit Number
Street Address
Suite Number
City
State
ZIP
Telephone Number
Fax Number
(
)
(
)
Part 2: Transmitter Information
Transmitter Name
FEIN
Street Address
Suite Number
City
State
ZIP
Contact Person
Telephone Number
(
)
Part 3: Data Information
Type of File
Original
Replacement
Total Number of Records
Part 4: CD Labeling
Send this form with your CD-ROM to:
Non U.S. Postal Service Carriers:
U.S. Postal Service:
DATA EXCHANGE – CHECK CASHER MS L120
DATA EXCHANGE – CHECK CASHER MS L120
FRANCHISE TAX BOARD
PO BOX 1468
SACRAMENTO CA 95827
SACRAMENTO CA 95812-1468
FTB 3606 (REV 09-2011)
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Parent category: Legal