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Get CA EDD DE 6 2004

Payroll, complete Items C or D and P. QUARTER ENDED YR QTR DELINQUENT IF NOT POSTMARKED OR RECEIVED BY DUE EMPLOYER ACCOUNT NO. DO NOT ALTER THIS AREA P1 C T S W A EFFECTIVE DATE Mo. Day Yr. WIC A. EMPLOYEES full-time and part-time who worked during or received pay subject to UI for the payroll period which includes the 12th of the month. 1st Mo. B. Check this box if you are reporting ONLY Voluntary Plan DI wages on this page. Report PIT Wages and PIT Withheld, if appropriate.

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