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Get Ca De 9 2012

T POSTMARKED OR RECEIVED BY DUE QUARTER ENDED EMPLOYER ACCOUNT NO. DEPT. USE ONLY DO NOT ALTER THIS AREA A. NO WAGES PAID THIS QUARTER FEIN P1 P2 C P U S A T Mo. Day Yr. EFFECTIVE DATE B. OUT OF BUSINESS/NO EMPLOYEES B1. OUT OF BUSINESS DATE M M D D Y Y Y Y ADDITIONAL FEINS C. TOTAL SUBJECT WAGES PAID THIS QUARTER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D. UNEMPLOYMENT INSURANCE (UI) (Total Employee Wages up to $ (D1) UI Rate % per employee .

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