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Get MO MODES-4 2019-2024

O NOT USE) Date Paid EAU4 3. CALENDAR QUARTER 1. EMPLOYER NAME AND ADDRESS 1st 2nd 3rd 4th MUST HAVE AMOUNTS IN 4, 5, & 6, EVEN IF ZERO 4. TOTAL WAGES PAID 5. WAGES PAID IN EXCESS OF PER WORKER PER YEAR (See Instruction Sheet) 6. TAXABLE WAGES (Item 4 Minus Item 5) 7. TAXES DUE (Multiply Item 6 by Your Rate) 14. FEDERAL ID NUMBER _____________________________________ If mailing, return this page with remittance to: Division of Employment Security P.O. Box 888 Jefferson City, MO 65102-088.

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