Form 720 - Quarterly Federal Excise Tax Return Page 4
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93
Form 720 (Rev. 4-2017)
Page
Part III
3
Total tax. Add Part I, line 1, and Part II, line 2 .
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Claims (see instructions; complete Schedule C)
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Deposits made for the quarter .
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5
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Check here if you used the safe harbor rule to make your deposits.
6
Overpayment from previous quarters .
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7
Enter the amount from Form 720X included
on line 6, if any .
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Add lines 5 and 6 .
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9
Add lines 4 and 8 .
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Balance Due. If line 3 is greater than line 9, enter the difference. Pay the full amount with the return (see instructions)
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Overpayment. If line 9 is greater than line 3, enter the difference. Check if you want the
overpayment:
Applied to your next return, or
Refunded to you.
11
Third Party
Do you want to allow another person to discuss this return with the IRS (see instructions)?
Yes. Complete the following.
No
Designee
Designee name
Phone no.
Personal identification number (PIN)
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Here
Signature
Date
Title
Type or print name below signature.
Telephone number
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Print/Type preparer’s name
Preparer’s signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Use Only
Firm’s name
Firm’s EIN
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Firm’s address
Phone no.
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720
Form
(Rev. 4-2017)
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