Tax Amnesty Application Form - Kansas Department Of Revenue

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KANSAS TAX AMNESTY APPLICATION
To apply for Tax Amnesty, complete this application, enclose payment for tax along with any applicable returns, and mail
them to the following address:
KANSAS DEPARTMENT OF REVENUE - AMNESTY
915 SW HARRISON STREET
TOPEKA KS 66699-1000
If you prefer to apply for Tax Amnesty using an on-line application, visit the Kansas Department of Revenue
web site at
IMPORTANT: A properly completed application is required to qualify for amnesty. For assistance call 785-368-8200.
PART I
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„
sign
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Signature
Date

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