Form D-20es - Declaration Of Estimated Franchise Tax - 2002 Page 2

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*020200620000*
TAXPAYER NAME :
FEDERAL EMPLOYER ID NUMBER :
*020200620000*
Under penalties of law, I declare that this declaration, to the best of my knowledge, is correct.
Declaration of paid preparer is based on all information available to the preparer.
PLEASE
TELEPHONE NUMBER
SIGN
-
-
HERE
OFFICER S SIGNATURE
TITLE
DATE
PREPARER S SSN OR PTIN
PREPARER S SIGNATURE (If other than taxpayer)
DATE
PAID
PREPARER
FIRM NAME
PREPARER S FEDERAL EMPLOYER ID NUMBER
ONLY
FIRM ADDRESS
Mail voucher and payment to: Government of the District of Columbia, Corporation Estimated Tax, P.O. Box 96019, Washington, D.C. 20090-6019.
Make check or money order payable to the D.C. Treasurer. Include your Federal Employer ID Number, D-20ES and tax year on your payment.

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