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Get and Sign Form 74 221 Tax Refund Direct Deposit Authorization
Code
Tax Type (Required)
Place an X beside the appropriate tax type(s).
Cigarette/Tobacco (T88)
Franchise (T13)
Insurance Premium (T71)
Motor Vehicle Rental (T15)
Seller Finance (T70)
SECTION 2
Crude Oil (T36)
Hotel (T75)
CNG / LNG (T90)
Motor Vehicle Sales (T00)
Other:
Diesel/Motor Fuel Claim (T00)
IFTA (T56)
Mixed Beverage Sales (T63)
Natural Gas (T37)
Other:
Diesel/Motor Fuel Tax (T90)
Insurance Maintenance (T72)
Mixed Beverage Gross Receipts (T73)
Sales...
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