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Get MI UIA 1471-C 2011-2024

EST OR APPEAL OF A (RE)DETERMINATION (ASSESSMENT) Employer:____________________________________________________ EAN:____________ Street Address:____________________________________________________________________ City, State, Zip Code:________________________________________________________________ I WISH TO PROTEST THE DETERMINATION OF THE NOTICE OF ASSESSMENT MAILED ON: ____________ I WISH TO APPEAL THE (RE)DETERMINATION OF THE NOTICE OF ASSESSMENT MAILED ON: __________ Provide the rea.

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