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1030

Mail completed Form SC1120-T to:

SC Department of Revenue
Corporation
Columbia, SC 29214-0006

SCCZ0301 11/23/09

1030 STATE OF SOUTH CAROLINA


DEPARTMENT OF REVENUE
TENTATIVE CORPORATION TAX RETURN SC1120-T
(Rev 4/9/09)
AND CONDITIONAL EXTENSION 3096
SC CORPORATE FILE # INCOME ACCT PERIOD END (MM-YY)

1 Tentative Tax Based


21137004-1 12-09 on Net Income . . . . . . . . . . . . . 0 .00

57-0972998 2 LESS: Estimated


FEIN Tax Payments . . . . . . . . . . . . . . 0 .00
Corporate Name and Address

3 Tentative Tax Due . . . . . . . . G 0 .00


ORANGEBURG SAUSAGE CO INC 14-0804

597 HIGH STREET


4 Total Capital and Paid in Surplus
ORANGEBURG SC 29115 0. x .001 plus
$15.00 but not less
than $25.00 Tentative
Foreign Not USA License Fee ............. G 25 .00
Tax EXEMPT 14-0401

Consolidated Return (Attach a schedule listing each member.)


Bank or S & L
QSSS Election (Attach a schedule listing each member.)
Utility or Electric Cooperative 5 Balance Remitted ........ G 25 .00

Signature Date

30961031 211370041 570972998 1209 00000000000 00000002500 1

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