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Get and Sign Clgs 32 5 2016-2022 Form
OffICE sTATE zIP MuNICIPAL TAxING AuTHORITY City Borough Township IN WHICH fACILITY OR BusINEss Is LOCATED COuNTY BusINEss PHONE NuMBER EMPLOYER PsD CODE fEDERAL EIN OR sOCIAL sECuRITY BusINEss fAx NuMBER ACCOuNT NuMBER YEAR AND QuARTER INCLUDE ONLY W-2 WAGE EARNERS FROM BUSINESS PAYROLL - USE EMPLOYEE STREET ADDRESS No PO Boxes 1. Total Earned Income Tax Withheld. 8. Date Period Ended MMDDYYYY. 3. Total of Earned Income Tax Due line 1 minus line 2. 10. Total Number of Employees Listed. 2....
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