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Grand Blvd, Suite 11-500, Detroit, MI 48202 www.michigan.gov/uia Rick Snyder GOVERNOR Authorized by MCL 421.1 et seq. Shaun Thomas Acting Director Employer s Quarterly Wage/Tax Report Mail To: Unemployment Insurance Agency Tax Office PO Box 33598 Detroit, MI 48232-5598 YOU MUST FILE THIS REPORT EVEN IF YOU ARE UNABLE TO PAY OR HAVE NO PAYROLL FOR THE QUARTER. For details about completing this report see the instructions page. Employer Type: Contributing (Complete Sections 1, 2, 3 & 4).

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