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Get Uct 115 E

S voluntary; not providing it could result in an information processing delay. 1. Former Owner/Operator Employer Legal Name Unemployment Insurance Account Number Telephone Number Trade Name Federal ID Number Form of Ownership (Check one) Individual Limited Partnership Limited Liability Co. Current Mailing Address (Street or PO Box, City, State, Zip Code) Partnership Corporation LLC Electing to be Treated as a Corporation Other: Physical Location of Transferred Business Name(s) of Partn.

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