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Get Form 941 (rev. January 2002). Employer's Quarterly Federal Tax Return - Irs

Nal Revenue Service (99) Please type or print. Enter state code for state in which deposits were made only if different from state in address to the right (see page 2 of instructions). Date quarter ended Trade name, if any Employer identification number Address (number and street) City, state, and ZIP code T FP I T 1 1 1 1 1 1 1 1 8 8 8 8 8 1 2 3 3 3 3 3 8 9 9 9 9 3 9 3 3 7 8 8 10 10 10 If you do not have to file returns in the future, check h.

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