Form Hz1v - Hazardous Waste Base Tax For Vsqgs Form - Minnesota Revenue - Minnesota

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2003 Hazardous Waste Base Tax for VSQGs
Cut carefully along this line to detach.
HZ1V
Due: April 15, 2004
2003 Hazardous Waste Base Tax for VSQGs
Amount due: $50
Check method of payment:
EPA number
Minnesota tax ID number
Electronic
Internet: Click on e-FILE Minnesota.
Company name
Phone: 1-800-570-3329. Follow the prompts for making a payment.
Check
(Make payable to Minnesota Revenue. Write Minnesota tax ID
Address
number on your check.)
State agency MAPS transaction #
City
State
Zip code
Mail to: Minnesota Revenue, Mail Station 3331,
Signature
Title
Business phone
Date
St. Paul, MN 55146-3331
Phone: 651-282-5770
(
)
TTY: Call 711 for Minnesota Relay

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