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Get January 1999) Department Of The Treasury Internal Revenue Service 941 Employer's Quarterly Federal

Artment of the Treasury Internal Revenue Service Please type or print. Enter state code for state in which deposits were made ONLY if different from state in address to the right (see page 2 of instructions). OMB No. 1545-0029 Name (as distinguished from trade name) Date quarter ended Trade name, if any Employer identification number Address (number and street) City, state, and ZIP code T FF FD FP I T 1 1 1 1 1 1 1 1 1 8 8 8 8 8 8 2 3 3 3 3 3 8 9 9 9 9 3.

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