Fauilure To File Affirmation And Acknowledgment
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Fauilure To File Affirmation And Acknowledgment Form. This is a South Carolina form and can be use in Department Of Revenue Statewide.
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Tags: Fauilure To File Affirmation And Acknowledgment, ABL-934, South Carolina Statewide, Department Of Revenue
1350
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
FAILURE TO FILE
AFFIRMATION AND ACKNOWLEDGEMENT FORM
ABL-934
(Rev. 11/19/08)
4407
I,
,upon being first duly sworn, upon penalty of perjury, do hereby
acknowledge and affirm that I have been advised by the South Carolina Department of Revenue that the
following return has not been filed as of today’s date:
South Carolina State Income Tax Return for the period(s) of
I have been further advised that this Return(s) is on behalf of:
me individually, or jointly with another. REQUIRED:
Social Security Number
a company, corporation, non-profit organization, or partnership for which I am an officer,
director, principal, or partner doing business as
REQUIRED:
Federal Identification Number
I hereby certify and affirm that I, or the business with which I am affiliated, is not required to file the foregoing
return(s) because
Taxpayer Caution -- Only a valid reason will be accepted as to why you are not required to file the foregoing
return.
SWORN to and subscribed before me this
day of
Notary Public for
(L.S.)
, year of
Taxpayer's Signature
My Commission Expires:
Notary (L.S.)
Notary (printed name)
44071017
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