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2008 State 9-1-1 and Emergency 9-1-1 Charges Forms

Fillable Forms Disclaimer
Many tax forms can now be completed on-line for printing and mailing. Currently, there is no computation, validation, or verification of the information you enter, and you are still responsible for entering all required information. Instructions may require some information to be handwritten on the form (signatures, for example).
 
For security reasons, you should press the "Reset Form" button after printing your completed form to clear your personal data. This button is located on the top of right corner of the form.

You will need Adobe Acrobat Reader installed to view the tax forms listed below. 
 

Returns, Reports & Worksheets

Form Number Form Name
4652 State 9-1-1 and Emergency 9-1-1 Charges

Electronic Funds Transfer (EFT) Forms

Form Number Form Name
4103 Electronic Funds Transfer (EFT) Application -9-1-1 Charges
 


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