Form Ap-3 - Summary Sheet Of Reported Items - Pennsylvania Department Of Treasury

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SUMMARY SheeT oF RePoRTeD ITeMS
AP- 3
Robert M. McCord, State Treasurer
PAGeS
AMoUNT
# oF
PRoPeRTY TYPe DeSCRIPTIoN
ReMITTeD
oWNeRS
FRoM
To
0
ToTAl NUMBeR oF oWNeRS
ToTAl AMoUNT AGGReGATeS
ToTAl AMoUNT ReMITTeD
$0.00
GRAND ToTAl
$0.00
*
The total for the amount remitted must
be shown on the first page of the AP-3.
________________________________________________
___________________________________
_____________________
Holder's Name
County
EIN #
_____________________________
Reporting Year

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