State of New Jersey Division of Taxation CLAIM FOR REFUND ...

State of New JerseyDivision of TaxationCLAIM FOR REFUND - BUSINESS TAXES ONLYA-3730(11-10)Please Print or Type / See Instructions On Reverse SideDO NOT USE THIS FORM FOR GROSS INCOME TAX (Individual)COMPLETE ALL APPLICABLE ITEMSSECTION ONECOMPUTATION OF CIGARETTE TAX REFUNDSL icense THREESECTION TWOI declare under the penalties of perjury that this CLAIM (including any accompanying schedules and statements) has been examined by me and to thebest of my knowledge and belief is true and Name of Taxpayer1b. Trade Name2d.

State of New Jersey Division of Taxation CLAIM FOR REFUND - BUSINESS TAXES ONLY A-3730 (11-10) Please Print or Type / See Instructions On Reverse Side

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  Jersey, Division, Claim, Taxation, 0337, New jersey division of taxation claim, A 3730

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