Form D-20es - Corporation Declaration Of Estimated Franchise Tax - 2001 Page 2

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TAXPAYER NAME :
FEDERAL EMPLOYER ID NUMBER :
01020012000
Under penalties of law, including criminal penalties for false statements and tax preparer penalties under D.C. Code secs. 22-2514 and 47-161, et seq., I declare that I have examined this return
and, to the best of my knowledge and belief, it is true, correct and complete. If prepared by a person other than the taxpayer, this declaration is based on all information available to the preparer.
PLEASE
TELEPHONE NUMBER
SIGN
HERE
-
-
OFFICER’S SIGNATURE
TITLE
DATE
PREPARER’S SSN OR PTIN
PREPARER’S SIGNATURE (If other than taxpayer)
DATE
PAID
PREPARER
PREPARER’S FEDERAL EMPLOYER ID NUMBER
ONLY
FIRM NAME
FIRM ADDRESS
Mail return and payment to: Government of the District of Columbia, Corporation Estimated Tax, P.O. Box 96019, Washington, D.C. 20090-6019.
Make check or money order payable to the D.C. Treasurer. Include your Federal Employer ID Number, D-20ES and tax year on your payment.

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