Example: tourism industry
DETACH HERE BEfORE MAILING

DETACH HERE BEfORE MAILING

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rev-1667 (as) 12-17 business name and address legal name trade name address city, state, zip do not send payment with this form. detach here before mailing please read the instructions before completing this coupon. instructions for the annual withholding reconciliation statement (rev-1667) the annual withholding reconciliation statement (rev-1667)

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