Form Fae 172 - Quarterly Franchise, Excise Tax Declaration Page 3
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2
3Due Date:
2
TENNESSEE DEPARTMENT OF REVENUE
If your account number is not preprinted or unknown, enter federal identification or social
QUARTERLY FRANCHISE, EXCISE TAX DECLARATION
FAE
.
security number
BEGINNING
ENDING
Taxable
172
Year
ACCOUNT NUMBER
(FEIN/
SSN)
AMOUNT OF
00
PAYMENT
FOR OFFICE
USE ONLY
RV-R0011301
Due Date:
3
TENNESSEE DEPARTMENT OF REVENUE
If your account number is not preprinted or unknown, enter federal identification or social
QUARTERLY FRANCHISE, EXCISE TAX DECLARATION
FAE
.
security number
BEGINNING
ENDING
Taxable
172
Year
(FEIN/
ACCOUNT NUMBER
SSN)
AMOUNT OF
00
PAYMENT
FOR OFFICE
USE ONLY
RV-R0011301
Due Date:
4
TENNESSEE DEPARTMENT OF REVENUE
If your account number is not preprinted or unknown, enter federal identification or social
QUARTERLY FRANCHISE, EXCISE TAX DECLARATION
.
FAE
security number
BEGINNING
ENDING
Taxable
172
Year
(FEIN/
ACCOUNT NUMBER
SSN)
AMOUNT OF
00
PAYMENT
FOR OFFICE
USE ONLY
INTERNET (1-07)
RV-R0011301
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