Ftb 3606 6/08 - Cd-Rom Transmittal Form - State Of California - Franchise Tax Board

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STATE OF CALIFORNIA
For FTB use
DATA EXCHANGE – CHECK CASHER MS L120
Replacement File Requested
FRANCHISE TAX BOARD
Corrected File Received
PO BOX 1468
SACRAMENTO CA 95812-1468
CD-ROM TRANSMITTAL FORM
Check Casher Information Report
Report for Calendar Year: _______
Type of file:
Original
Replacement
(Submit this form with your check casher report data on a CD-ROM.)
Part I Check Casher Information
1. Business Name
2. FEIN
3. SEIN
4. DOJ Permit Number
5. Street Address
6. Suite Number
7. City
8. State
9. Zip
10. Telephone Number
11. Fax Number
(
)
(
)
Part II Transmitter Information
12. Transmitter Name
13. FEIN
14. Street Address
15. Suite Number
16. City
17. State
18. Zip
19. Contact Person
20. Telephone Number
Part III
Send this form with your CD-ROM to:
Shipping:
U.S. Postal Service:
DATA EXCHANGE – CHECK CASHER MS L120
DATA EXCHANGE – CHECK CASHER MS L120
FRANCHISE TAX BOARD
PO BOX 1468
SACRAMENTO CA 95827
SACRAMENTO CA 95812-1468
FTB 3606 (REV 06-2008)

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