Form 480.37 - Estimated Tax Deposit Form

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CUT ALONG THE DOTTED LINE BEFORE FILING THIS FORM.
Government of Puerto Rico
Form 480.37
DEPARTMENT OF THE TREASURY
Rev. Mar 29 11
ESTIMATED TAX DEPOSIT FORM
Net Income Attributable to Puerto Rico Sources Pursuant to Section 1123(f)
of the Puerto Rico Internal Revenue Code of 1994, as amended
Payment Stamp
Name
Address
Payment Date
Account Number
Tax Year
Amount Paid
0 0
Y
Y M M D D
CODE 0143
CUT ALONG THE DOTTED LINE BEFORE FILING THIS FORM.

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