Form Msa-65 - Msa E-Mail Address Form - Ohio Department Of Taxation

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MSA-65
Revised 3/04
P.O. Box 530
Columbus, OH 43216-0530
MSA E-mail Address Form
Name and address
Account number
E-mail addresses of those individuals to be notified about Cigarette Master Settlement Agreement
Please mail to:
Ohio Department of Taxation
Excise and Motor Fuel Tax Division
P.O. Box 530
Columbus, OH 43216-0530
Telephone: (614) 466-7026
Fax: (614) 752-8644

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