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TAX026 STATE OF IDAHO DEPARTMENT OF LABOR EMPLOYER QUARTERLY UNEMPLOYMENT INSURANCE TAX REPORT STATE ACCOUNT NUMBER YEAR WAGES WERE PAID CALENDAR QUARTER WAGES WERE PAID LEGAL ENTITY NAME AND ADDRESS CASHIER IDAHO DEPARTMENT OF LABOR 317 W MAIN STREET BOISE IDAHO 83735-0610 TELEPHONE 208 332-3576 or 800 448-2977 IMPORTANT Make NO prior quarter adjustments on this report. Adjustments to wages reported in previous quarters must be submitted SEPARA.

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