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Get CT DRS CT-941X 2009

Artment of Revenue Services PO Box 2931 Hartford CT 06104-2931 I further declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to DRS is a ne of not more than $5,000, or imprisonment for not more than ve years, or both. Sign Here Signature of employer Keep a copy Paid pre.

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