Form Fr-900q - Employer'S/payor'S Withholding Tax Booklet - 2012 Page 19

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2012
Government of the
District of Columbia
*129000710000*
12/31/2012
Fill in
if Final return
Account Number
01/20/2013
Due date
.
1. DC income tax
$
.
.
$
.
of this year. Fill in
City
Zip Code + 4
circle if minus.
.
$
.
Telephone number of person to contact
2012 FR-900Q

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