Pennsylvania > Statewide > Department Of Revenue
Corporate Officer Signature Form REV-788 - Pennsylvania
| Corporate Officer Signature Form Form. This is a Pennsylvania form and can be used in Department Of Revenue Statewide . |
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REV-788 BA (11-03) BOARD OF APPEALS DEPT. 281021 HARRISBURG, PA 17128-1021 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE evenue PENNSYLVANIA DEPARTMENT OF CORPORATE OFFICER SIGNATURE FORM BOA DOCKET NUMBER (S) PETITIONER NAME AND ADDRESS: NAME: ADDRESS: CITY: STATE: ZIP: TAX IDENTIFICATION NUMBER (PA BOX NUMBER): TAX TYPE: TAX PERIOD: AUTHORIZED REPRESENTATIVE: BUSINESS NAME: ADDRESS: CITY: STATE: ZIP: REPRESENTATIVE CONTACT PERSON: LAST NAME: FIRST NAME: MIDDLE INITIAL: Under penalties prescribed by law, I hereby certify that the above referenced Petition(s) has been examined by me and that to the best of my knowledge, information and belief, the facts contained in the Petition(s) are true, correct and complete and the Petition is not made for the purposes of delay. Name and Title of Corporate Officer Signature American LegalNet, Inc. www.FormsWorkflow.com
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