State Form 52892 - Schedule In-Dre - Disaster Recovery Exemption

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DISASTER RECOVERY EXEMPTION
Schedule
IN-DRE
State Form 52892
This schedule must be submitted when claiming this exemption.
(6-14)
Legal Name of Business
State of Domicile
Federal Employer Identification Number or State Taxpayer Identification Number
Principal Business Address
Street Address
City
State
ZIP Code
Description of Disaster
Beginning Date of Work
Ending Date of Work
Location of Work
Name of Contact Person
Contact Person’s Title
Contact Person’s Phone Number
Contact Person’s Email Address
*24100000000*
24100000000

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