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Get and Sign Nys 45 Form 2019
...................... Yes
Employer legal name:
Y
For office use only
Postmark
No
Received date
If seasonal employer, mark an X in the box .........
Number of employees
Enter the number of full-time and part-time covered
employees who worked during or received pay for
the week that includes the 12th day of each month.
a. First month
Part A - Unemployment insurance (UI) information
b. Second month
c. Third month
UI
SK
AI
SI
WT
SK
Part B - Withholding tax (WT) information
...
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