Form 96 - Summary Of Annual Information Returns

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CALENDAR YEAR
96
A
D
R
LABAMA
EPARTMENT OF
EVENUE
1
1
9
FORM
Summary of Annual Information Returns
_________
8/96
PAYOR
SOCIAL SECURITY NO. OR FEIN
(DATE RECEIVED)
STREET ADDRESS OR P.O. BOX
CITY
STATE
ZIP CODE
SIGNATURE
Number of Form 99s attached _________
TITLE

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