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                                                                                Indiana Department of Revenue
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06                                                                              IT-6
07                                                                              For Use of Tax Year 2023
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09                                                                              08/2022
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34   Blank for Extension Payments
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39                                                         Blank for Vouchers 1 - 4 
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43 Cut on line before mailing
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46                                     IT-6                0920    
47 XXXXXBusinessNameXXXXXXXXXXXXX
48 XXXXXAddressLine1XXXXXXXXXXXXX
49 XXXXXAddressLine2XXXXXXXXXXXXX                          Printed Name of Officer              Title
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51                                     6
52 Federal ID Number         Due Date                      Signature of Officer                 Title
53 999 99 9999               99 99 9999
54                                                         Date                    Daytime Phone
55 Voucher Number            Calendar or Fiscal Year Ending
56 9                         XXX 9999
57                                                                                              Enter Total Tax Below
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59 INDIANA DEPARTMENT OF REVENUE
60 P.O. BOX 6032
                                                                                                        .
61 INDIANAPOLIS, IN 46206-6032
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63                                     089999999999999990079999999999999999999
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