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1. TOTAL GROSS RECEIPTS add lines 1a and 1b 2. TOTAL CHARGED FOR TAX-EXEMPT MEALS 3. TOTAL TAXABLE RECEIPTS subtract line 2 from line 1 Check here if this is a final return* a* State 4a* STATE TAX DUE line 3 x. 0625 Return is due with payment on or before the 20th day of the month following the month indicated above. Make check payable to Commonwealth of Massachusetts. Mail to Mass. Dept. of Revenue PO Box 7041 Boston MA 02204-7041. I declare under the penalties of perjury that this return incl ...

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