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Mail this payment voucher with your return <br /> Forest Product Harvest Tax Payment Voucher For tax year Date received at Revenue <br /> 150-502-172(Rev.07.15) 201 5 <br /> Program: 370 <br /> Is this an amended return? ❑Yes <br /> Enter payment amount <br /> $ <br /> Business Identification number(BIN) <br /> 602-'0 C7 <br /> Last name First name and initial <br /> etAL <br /> Current mane address ` �� <br /> k �1 R k4' (Mv'a <br /> City State ZIP code <br /> E e k 13.12 ct tiC- <br />