BUSINESS
                                                          - 
                               TAXABLE PERIOD BEGINNING ____________________ AND ENDING _________________

                                             ISCAL YEAR DUE ON 15TH DAY OF THE 4TH MONTH AFTER YEAR END
                                             EXTENSION REQUESTS MUST BE ATTACHED TO YOUR RETURN.

                               NO TAX DUE OR REFUNDED IF LESS THAN $10.01

                                                                                 7)
                                                         If less than $200, estimated payments are not required

*First quarter estimatedth tax paymentsth th shouldth be paid with this return.  Subsequent estimated payments
are due by the 15  day of the 6 , 9  and 12 months after the beginning of the taxable year.

                                                                                                               FOR OFFICIAL USE ONLY - PENALTY & INTEREST
                                                                                                                 $ _______________________

                                                                                                                 $ _______________________
                                                                                                                 $ _______________________
                                                                                                                 $ _______________________

                                                                                                                 $ _______________________
                                                                                                                 $ _______________________
                                                                                                               GRAND TOTAL   $ _______________________

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