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Vermont Quarterly 2019
Rules governing this reporting. Clear period info only Preparer s Signature Firm s name or yours if self-employed and address Preparer s Telephone Number Clear ALL fields Preparer s PTIN or EIN Form WHT-436 Rev. 08/19 Save and go to Important Printing Instructions Save and Print. 7. Adjusted Uncovered FTE from worksheet Line D. 7. 8. Total Health Care Contributions Due from worksheet Line E. Vermont Department of Taxes Phone 802 828-2551 VT Form HC-1 PO Box 547 Montpelier VT 05601-0547 HEALTH...
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