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Nsin Employer Identification Number: Federal Employer Identification Number: Due Date: Calendar Year: This form is to be completed only for the above named employer and only for the calendar year indicated. Please read the instructions carefully before completing this form. Please complete this form even if you did not have employees this year. 1. Enter the number of employee Wage and Tax Statements (W-2, 1099R, & W-2G) prepared for the calendar year indicated above 1. 2. Total Wisconsin tax.

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