Form Ct-901 - Loose Check Processing Coupon - Vermont Department Of Taxes

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CT-901
07/20/01 12:50 PM
Vermont Department of Taxes
Loose Check Processing Coupon
Account Number:
110
-
S
-
01
SSN:
-
-
FEIN:
-
Beginning Period:
01
/
01
/
2000
(MM/DD/YYYY)
Ending Period:
12
/
31
/
2000
(MM/DD/YYYY)
Amount of Check:
$
.
Source of Payment:
O
Employee Initials:
Additional Information:

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