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Saturday, 19 May 2012

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Euro	EUR	223.2712

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Use this form to electronically report Tax evasion and corruption cases.

Suspect Details:

First Name:

Last Name:

Initial:

Postal Address:

Telephone:

Cell Phone:

Business Details:

Nature of Business:

Other Related Businesses:

Client/Customers:

Suppliers:

Sales Documentation:

Purchase Documentation:

Number of Employees:

Actual Taxes Evaded:

Tears Concerned:

Actual Proof of Evasion:

Nature of Offence:

Other (Please specify any relevant information):

Informer (Your) Details:

First Name:

Last Name:

Initial:

Postal Address:

Telephone:

Cell Phone:

Your Password:

(This can be anything and will enable you to check status or follow up on your report. PLEASE KEEP!).

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