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Uitr 3 Form
Total Wages
3. Excess Wages
4. Chargeable Wages
5. Premiums Due
6. Interest
7. Total Due
Qtr./Yr.
2/
Rate
2. Total Wages
3. Excess Wages
4. Chargeable Wages
5. Premiums Due
6. Interest
7. Total Due
Qtr./Yr.
3/
Rate
2. Total Wages
3. Excess Wages
4. Chargeable Wages
5. Premiums Due
6. Interest
7. Total Due
Qtr./Yr.
4/
Rate
2. Total Wages
3. Excess Wages
4. Chargeable Wages
5. Premiums Due
6. Interest
7. Total Due
8.
Form UITR-1a (enclosed)
9. Reason for Adjustment
Form UITR-6a...
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