Form K-130v - 2011 Kansas Privilege Tax Payment Voucher

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VOUCHER IS LOCATED AT THE BOTTOM
K-130V
2011 KANSAS
FOR OFFICE USE ONLY
PRIVILEGE TAX
(Rev. 6/10)
PAYMENT VOUCHER
-
Employer
__ __/__ __/__ __
__ __/__ __/__ __
For the taxable year beginning
ending
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
179110

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