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Empleados en 2010 Direcci n N mero Calle d. Final: Se cerr el negocio o dej de pagar salarios N mero de oficina o de habitaci n Ciudad C digo postal (ZIP) Estado Lea las instrucciones antes de llenar este formulario. Escriba en letra de molde o a maquinilla dentro de los encasillados. Parte 1: Inf rmenos sobre su planilla. Si NO le corresponde una l nea, d jela en blanco. 1 Si tuvo que pagar la contribuci n estatal para el desempleo . . . 1a nicamente en Puerto Rico, es.

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