Form K-130v - Privilege Tax Payment Voucher - 2006 Kansas

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K-130V
2006 KANSAS
FOR OFFICE USE ONLY
PRIVILEGE TAX
(Rev. 7/05)
PAYMENT VOUCHER
-
Employer
For the taxable year beginning __________________ , 2005; ending _________________ , 20_____
Identification
Number
Corporation Name
Corporation Address
Name or
Amended
Extension
Address
Payment
Payment
Change
City, Town, or Post Office
State
Zip Code
Name of Contact Person
Phone Number
$
PAYMENT
,
,
.
AMOUNT
Please make check or money order payable to: Kansas Privilege Tax
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM
179105

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