Business Privilege Tax Estimated Tax Payment - 2003

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2003 BUSINESS PRIVILEGE TAX
This is a VOLUNTARY payment; this
payment is not due until April 15, 2003.
ESTIMATED TAX PAYMENT
CITY ACCOUNT NUMBER
Print name:
Address:
FEDERAL EIN OR SOCIAL SECURITY #
Estimated tax for 2003 Business Privilege Tax
Phone #:
. 0 0
DEPARTMENT OF REVENUE
Make check payable to:
Due Date: 4/15/2003
CITY OF PHILADELPHIA
"City of Philadelphia"
P.O. BOX 1393
PHILADELPHIA, PA 19105-9731

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