OFFICIAL USE ONLY - Pennsylvania Department of Revenue
Provide your USDOT and NAICS code. USDOT. NAICS . Name, title, Social Security number, FEIN or ITIN and home address of the individual applicant if different from Section I, Applicant Information, above. or, in the case of a partnership or limited liability company, each individual partner or member owning 50 percent or more equity in the ...
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