Form Rct-131 - Gross Receipts Tax - Private Bankers Page 3
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3RCT-131
PAGE 3 OF 3
Revenue ID
(06-12)
GROSS RECEIPTS TAX - PRIVATE BANKERS
Preparer’s Information:
Firm Name
Individual Preparer Name
Firm FEIN
Phone
Address
Email
City
Social Security Number
or PTIN
State
ZIP
I affirm under penalties prescribed by law this report, including any accompanying schedules and statements, has been prepared by me and to the best of my
knowledge and belief is a true, correct and complete report.
Signature of Preparer
Date
Signature of Preparer – Please sign after printing
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Parent category: Financial