Form B&l: Cst-2 - Coal Purchasers Report
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1
2B&L: CST-2
A
D
R
LABAMA
EPARTMENT OF
EVENUE
Acct. # _________________________
REV. 10/12
B
& L
T
D
USINESS
ICENSE
AX
IVISION
Month _________________________
P.O. Box 327560 • Montgomery, AL 36132-7560 • (334) 353-7827
Online filing available at
Year __________________________
Coal Purchasers Report
TITLE 40, CHAPTER 13, ARTICLES I & II
FEIN: ________________________________________ SSN: ________________________________________ Telephone: (_________)________________________________
Name: _____________________________________________________________________________________ Contact Person: ______________________________________
Address: ________________________________________________________ City: _______________________________ State: _____________________ ZIP: ______________
Check here if new address
DATE
TONS
SELLER
TRANSPORTER
POINT OF RECEIPT
PURCHASED
PURCHASED
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If coal was sold to another company, complete page 2 of this return.
AFFIDAVIT
I hereby certify under penalty of perjury that I am duly authorized to make this tax return;
Signed: __________________________________________________________
and that the information herein contained is true and correct.
Title: ____________________________________________________________
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