Total Tax Return Form - Municipality Of San Juan Page 2

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I declare under oath, that this return (including attachements and statements) have been examined by me,
Specialist Name
and that according to my better knowledge and belief, is certain, correct and complete.
Name
Title
Specialist Signature
Signature
Day
Month
Verify that all spaces are filled and legible.
Review the calculations made before emitting the payment.
Be sure to include the payment (check) by the exact amount that is indicated in the return.
The return and payment are due the 10th of the next month by with this return will be sent. Make the payment for
"Municipio de San Juan" and send it by mail to the address indicated on the return.
I declare under oath, that this return (including attachements and statements) have been examined by me,
Specialist Name
and that according to my better knowledge and belief, is certain, correct and complete.
Name
Title
Specialist Signature
Signature
Day
Month
Verify that all spaces are filled and legible.
Review the calculations made before emitting the payment.
Be sure to include the payment (check) by the exact amount that is indicated in the return.
The return and payment are due the 10th of the next month by with this return will be sent. Make the payment for
"Municipio de San Juan" and send it by mail to the address indicated on the return.
I declare under oath, that this return (including attachements and statements) have been examined by me,
Specialist Name
and that according to my better knowledge and belief, is certain, correct and complete.
Name
Title
Specialist Signature
Signature
Day
Month
Verify that all spaces are filled and legible.
Review the calculations made before emitting the payment.
Be sure to include the payment (check) by the exact amount that is indicated in the return.
The return and payment are due the 10th of the next month by with this return will be sent. Make the payment for
"Municipio de San Juan" and send it by mail to the address indicated on the return.

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