Form R-1362d - Detailed Schedule Of Tangible Personal Property Destroyed During A Natural Disaster

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R-1362D(9/05)
Detailed Schedule of Tangible Personal
Property Destroyed During a Natural Disaster
Name of Claimant ____________________________________ Social Security Number ______________________
Date of Purchase
Original Cost
State Sales/Use
Description of Property Destroyed
(MM/DD/YY)
of Property
Taxes Paid
Total State Sales/Use Taxes Paid

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Parent category: Financial
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