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Get and Sign Www signNow Comfill and Sign PDF Form105279New York State Teamsters Council Prepaid Legal Services Fund
And address of nonresident member B C D E F G Member s Social Total duty New York State New York State Total Security number days duty days allocation percentage compensation taxable income enter here and in see instr. see instr. divide column D by see instructions multiply column F by column B2 on page 2 column C. 00. 00 Totals If you are filing more than one Schedule A enter the grand totals from all Schedules A on the last sheet leave the other total boxes blank. 1090 see instructions on...
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