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Loyment), dismissal payments, holiday pay and the cash value of all remuneration in any medium other than cash. If you are an approved MAGNETIC TAPE filer check the block and return blank form. CORPORATE OFFICERS Effective 96-1, regardless of ownership interest, wages from employment earned by officers are subject to the state unemployment insurance tax. FORM COMPLETION 1. 2. 3. 4. 5. Report wages for this quarter only. DO NOT INCLUDE NEGATIVE WAGES. All columns must be completed or form will n.

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