Form Uo3 - Unpaid Tenant Report
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1MAKE NO MARKS IN THIS AREA
Unpaid Tenant Report (UO3)
Business U&O Tax Account #
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The UO3 must be filed by the due date of the return.
Delinquent tenants cannot be claimed after the due date.
Property Account #
Additional forms can be downloaded from
Landlord Name:______________________________________
Tax Period/Year Code
Property Location:____________________________________
Business U&O Tax Account #
EIN / Social Security #
Amount of Unpaid Tax
,
. 0 0
1
,
. 0 0
2
,
. 0 0
3
,
. 0 0
4
,
. 0 0
5
,
. 0 0
6
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. 0 0
7
,
. 0 0
8
,
. 0 0
9
,
. 0 0
10
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. 0 0
11
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. 0 0
12
,
. 0 0
13
,
. 0 0
14
Page Total for Tax Unpaid by Tenants:
,
,
. 0 0
Enter here and on UO1 Return, Line 5.
Preparer's Signature:___________________________________ Date:________________ Phone #:____________________________
83-E-700 Rev. 10/2005
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Parent category: Financial