Form K-130v - Privilege Tax Payment Voucher - 2016

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K-130V
2016 KANSAS
FOR OFFICE USE ONLY
PRIVILEGE TAX
Rev. 7-15
PAYMENT VOUCHER
Employer
_________________
______________________
For the taxable year beginning
ending
Identification
Number
Corporation Name
Corporation Address
Name or
Amended
Extension
Address
Change
City, Town, or Post Office
State
Zip Code
Payment
Payment
Name of Contact Person
Phone Number
PAYMENT
$
AMOUNT
Make check or money order payable to: Kansas Privilege Tax
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM
179115

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